Abstract
Significance:
Saccades present a direct relationship between the size of the movement (SACSIZE) and its peak velocity (SACPEAK), the main sequence, which is traditionally quantified using the model SACPEAK = Vmax × (1 – e−SACSIZE/SAT). This study shows that Vmax and SAT are not veridical indicators of saccadic dynamics.
Purpose:
Alterations in saccadic dynamics are used as a diagnostic tool. Are the 95% confidence intervals of Vmax and SAT correctly quantifying the variability in saccadic dynamics of a population?
Methods:
Visually-driven horizontal and vertical saccades were acquired from 116 normal subjects using the Neuro Kinetics Inc. Concussion Protocol with a 100 Hz I-Portal NOTC Vestibular System and the main sequence models were computed.
Results:
The 95% confidence intervals of Vmax, the asymptotic peak-velocity, and SAT, the speed of the exponential rise towards Vmax, were quite large. The finding of a strong correlation between Vmax and SAT suggests that their variability might be, in part, a computational interaction. In fact, the interplay between the two parameters greatly reduced the actual peak velocity variability for saccades less than 15°. This correlation was not strong enough to support the adoption of a 1-parameter model, where Vmax is estimated from SAT using the regression parameters. We also evaluated the effects of interpolating the position data to a simulated acquisition rate of 1 kHz. Interpolation had no effect on the population average of Vmax and brought a decrease of the average SAT by roughly 8%.
Conclusions:
The 95% confidence intervals of Vmax and SAT, treated as independent entities, are not a veridical representation of the variability in saccadic dynamics inside a population, especially for small saccades. We introduce a novel 3-step method to determine if a data set is inside or outside a reference population that takes into account the correlation between Vmax and SAT
Keywords: saccade, main sequence, dynamics, eye movements, concussion
Saccadic eye movements are very rapid transfers of gaze between objects of interest and involve a large number of cortical, subcortical and cerebellar brain areas.1, 2 Evaluating alterations in their dynamics as a clinical tool presents a major challenge, readily evident by performing a review of the methods sections in the saccadic literature. There is poor agreement in how to quantify saccadic dynamics and how to define “normal” and “abnormal” saccades. There is even less agreement on how to compare saccadic dynamics between two subjects or between different data sets from the same subject.1, 3 When studying saccadic eye movements, we need to keep in mind that in the execution of a saccade there are two main sequential processes involving different brain areas. The first process is the programming of the saccadic goal. The second is the actual execution of the saccade. Once the goal is set, which determination may itself be affected by brain injury and disease, usually as altered gain, higher number of errors, and longer latencies, the saccadic motor command is generated. A spatio-temporal process converts the desired angular rotation into a temporal sequence of neuronal spikes, controlled by a neural local feedback,4 which will drive the movement.2, 5, 6 A key consequence of the 2-step mechanism generating a saccade is that the dynamic characteristics of the movement are linked to the programmed size of the saccade and not to the stimulus that was presented to the subject. This has major implications in how best to compare the dynamics of different subjects or of different data sets from the same subject. The same 10° target step may have generated an 8.1° saccade in one set, and a 10.5° saccade in the comparison set. The dynamics, everything else being equal, will be different, because the eye movement is driven by a neuronal spike train linked to the 8.1° goal in one case and to the 10.5° goal in the other: saccadic dynamics is determined by a variable that we cannot directly control. Most naturally occurring saccades in humans have magnitude of 15° or less,7 with larger gaze shifts usually achieved in combination with head movements.8–10 In head-fixed humans, large target steps often elicit a hypometric primary saccade followed by one or more secondary saccades, making the dissociation between target step and saccadic size even more significant.11
A key biological characteristic of the saccadic system can help to address this issue. There is a strong relationship between the size of the movement (SACSIZE) and the peak of the eye velocity (SACPEAK) reached during the rotation, called the saccadic main sequence.12 This relationship is traditionally quantified using the exponential model SACPEAK = Vmax × (1 – e−SACSIZE/SAT),1, 13, 14 where Vmax is the asymptotic peak velocity and SAT is a constant defining the speed of the exponential rise towards Vmax. In the model equations reported in this and the accompanying paper, bold characters identify their parameters. As long as, among the data sets to be compared, the range of SACSIZE values and their distribution inside the range are similar and the data allow a reliable determination of the main sequence of each set, the fact that the actual SACSIZE and associated SACPEAK values in each data set differ can be, up to a point, ignored. Thus, the values of Vmax and SAT could be used as quantifiers of the overall saccadic dynamics of each set, irrespective of the precise location of the data points along the main sequence curve.
PURPOSE
The specific question addressed by this study is if the 95% C.I.s (Confidence Intervals) of Vmax and SAT of a subject population can be used to define the range of saccadic dynamics variability of the population. The data reported in this study are from 116 participants, selected as our control population for future studies. We will first compute the main sequence models for the 116 × 4 saccadic directions (right, left, up, down) data sets and determine the 95% C.I.s of Vmax and SAT of our population. The discovery of a strong correlation between Vmax and SAT suggests the possibility of adopting a 1-parameter model where Vmax is estimated from SAT using the regression parameters of the correlation. We will test this 1-parameter model on data sets that maximally deviate from this correlation to test if this parameter reduction is acceptable. We will then introduce a new 3-step process to determine if a data set is inside or outside our reference population that takes into account the strong correlation between Vmax and SAT. On 35 subjects we acquired two saccadic sets and we will use these data to test the reproducibility between sessions of our findings. Finally, we will analyze how the parametric variability correlates with the actual variability in saccadic dynamics.
As is true for most clinical video eye trackers included in integrated vestibular units, the video cameras tracking the eyes in our system have a 100 Hz frame rate. In Appendix 1 we describe the effect on the main sequence parameters of using a same-weight 10-point (10x) cubic spline interpolation instead of a 1x (i.e., no interpolation) cubic spline on the position traces. A 2-point backward differentiation is then used to compute the eye velocity in both cases. A simulation study by Mack et al.15 suggests that interpolation can compensate for the underestimation of the peak velocity values caused by the 100 Hz video frame rate and we tested this approach on our data.
METHODS
Participants (or parent or legally authorized representative for minors) gave written informed consent and all protocols and procedures were conducted in accordance with the Declaration of Helsinki and were approved by the University of Alabama at Birmingham Institutional Review Board.
Horizontal and vertical visually-driven prosaccades in a no-gap modality were acquired from 116 volunteers (61 females), mean age of 26 years (±11 SDEV, range 8 to 49). The data reported here were acquired with the horizontal and vertical random saccadic tasks of the Neuro Kinetics Inc. Concussion Protocol using a 100 Hz I-Portal NOTC Clinical Rotary Chair. The recording session included several other tests, not part of this commercial protocol, outside the rotary chair enclosure. A subset of 35 volunteers (19 females), mean age of 19 (±4 SD, range 9 to 24) repeated the entire sequence of tests twice, usually one sequence after the other on the same day, in three cases a few days apart. When on the same day, the two saccadic sessions were separated by approximately one hour of other oculomotor, vestibular and postural tests inside and outside the vestibular enclosure. Thus, the setting of the subject in the recording apparatus and the oculomotor calibration had to be redone between the two saccadic acquisitions. We used this strategy to maximize the variability between sessions linked to technical aspects as well as potential dynamical alterations due to tiredness, which was reported by several of the subjects. Prior to testing, all volunteers had a full eye exam performed by a licensed optometrist and completed a health questionnaire. Participants were excluded from this study if they reported a history of concussion, a history of playing contact sports at a competitive level, a history of neurological and/or psychiatric conditions that could affect their oculomotor, vestibular and/or postural responses, and if they had ever received drugs that are known to be toxic to the vestibular system. Participants were asked to stop using meclizine (for motion sickness), alcohol or nicotine for 48 hours before testing and needed to be able to see the target without corrective glasses. Contact lenses do not interfere with video eye tracking. All participants were naïve to oculomotor, vestibular and postural testing.
Experimental Setup and Tasks
In this initial study, our sequence of saccadic tasks in terms of number of acquisitions, positions of the targets, and timings strictly followed the commercial NKI Concussion Protocol to allow direct data comparison with our target groups and with similar facilities.16, 17 Participants were seated on a vertical-axis rotational chair in a light-sealed cylindrical enclosure, wore a set of seat belts and ankle belts, used for the vestibular tests (not described here) and the head was immobilized by temporal pads and a head back-support. A two-way communication system and an infrared camera allowed continuous monitoring of the participant, delivery of instructions about upcoming tasks, and feedback from the participant. Participants were asked to limit blinking and to keep their eyes fully open to obtain good eye tracking data. Periods of rest between tasks with eyes closed helped to achieve that. If the participant was wearing mascara, it was removed before the tests because of interference with eye tracking.
The participants were in total darkness, with the exclusion of the target. The binocular infrared (940 nm) video eye tracking system was embedded inside a scuba-like mask and the frame rate of each eye camera was 100 Hz. The eye tracking of this system is based on the principle of the dark pupil, with adjustable luminance threshold and selectable ROI in each eye. The eye sensors have 640×480 pixels and the location of the center of the pupil is determined as the center of mass of the selected dark area with a geometrical correction based on cross-compensated polar correlation for the measure of torsion,18 which was not recorded. 0.1° is given by the manufacturer as the horizontal and vertical resolution, with theoretical ±30° horizontal and ±20° vertical ranges. Our experience showed actual usable ranges of approximately ±20° horizontal and ±15° vertical. All data, including the eye traces and the analog position feedback signals from the mirror galvanometers controlling the target position, were acquired at 100 Hz and stored in raw format on disk, without any analog or digital filtering. The targets (1 mm = 0.06° in diameter @ 960 mm distance) were generated with a red (650 nm) laser beam projected onto the black wall of the cylindrical chair enclosure at a distance of 960 mm from corneal apex. The beam projection angle was controlled by a fast x-y set of mirror galvanometers. Saccades were elicited by discrete jumps of the laser beam. The <10 ms transition of the target from one location to the next was fast enough to not be detectable by the observer, simulating a standard no-gap task. At the beginning of the session, the participant was asked to fixate ± 10° targets along the horizontal and vertical meridians for 4 times and these values were used to calibrate all subsequent eye data.
Visually-driven horizontal and vertical saccades were acquired separately. In the horizontal test, the target moved along the horizontal meridian, while in the vertical test the target moved along the vertical meridian. The target steps (TSTEP) were 2°, 4°, …, 26°, 28°, 30°, randomly presented in terms of direction (right or left in the first sequence, up or down in the second sequence), step size, and timing [range 1.1 to 2.0 s between target steps]. The target sequence was identical for all participants. With the recording session including several other tests and the time allocated to each test necessarily limited, each step value was presented only once. Thus, for each saccadic direction we had up to 15 data points (min 12 valid points for the set to be accepted for analysis) to determine the main sequence model. The starting position of the target for the next trial was the position at the end of the previous trial, with no re-centering. Due to the usable oculomotor range limitations of video-oculographic systems, to record large saccades, in our case up to 30°, the eyes need to start from an offset position to fit well into the trackable range. This has the drawback that, when the target is at the eccentric edge of the range, the participant may have predicted that the next step will be centripetal. This predictability, with potential impact on latency, which is not considered in this study, may have also slightly affected saccadic dynamics following the study by Bieg et al.19 Potential latency and dynamical differences between centripetal and centrifugal saccades,20 considering that several large saccades crossed the center, were also not taken into consideration in this study. As we will illustrate in the discussion, there is the need to have the widest possible range in saccadic sizes, which is very difficult to achieve with a standard video-oculographic method by starting at the center at each trial.
Data Analysis
The raw data were converted into ASCII text files and sent to a Linux RedHat computer where the main analysis was conducted. In most of the data sets the reported measures are from the version traces, i.e., for the horizontal tests the average of the left-eye and right-eye horizontal traces and for the vertical tests the average of the left-eye and right-eye vertical traces. All tasks were conjugate saccadic tasks with no change in depth and the two eyes were expected to execute almost identical movements with the exclusion of the well-known intrasaccadic vergence transient.21 For each data set, a direct graphical comparison of the right-eye and left-eye saccadic size and of the right-eye and left-eye saccadic peak velocity values was performed to identify trials with possible tracking artifacts, seen as major breaks in conjugacy. If this occurred, these trials were deleted from further analysis after visual verification from the raw traces of the actual presence of tracking artifacts. If, during the initial inspection of the data, the traces from one eye were significantly worse than from the other eye, with evident tracking artifacts throughout the session, the data from the eye with the best traces were used instead of the version data. Saccades contaminated by concurrent blinks were also manually deleted. They were easily identifiable by the transient binocular loss of eye tracking signal due to the covering of the pupils by the upper eyelids, which generated “nan” in the eye traces, and the stereotypical transients in the vertical eye traces associated with blinks. The eye tracker has no algorithm compensating for partial pupil occlusions by canthi and/or eyelids, and, unless sufficiently asymmetric to be detectable during the conjugacy control, these data passed the preliminary inspection and were included in the data set.
Eye velocity traces were computed using a 2-point backward differentiation after a cubic spline of the position traces. The weight of the cubic spline was identified using the optimization method suggested by Eubank 22 applied to the raw unfiltered position traces. This weight optimization search is traditionally applied on repeated measures associated with the stimuli giving the highest response dynamics, which are the limiting elements in the choice for the optimal spline weight. 23 The algorithm searches for the optimal compromise between the reduction in local noise (strong filtering, i.e., weak maximum curvature of the fit) at the level of the single position traces and the preservation of the temporal profile of the average eye position trace (weak filtering, i.e., strong maximum curvature of the fit). A visual post-comparison between the average velocity traces obtained applying the 2-point backward differentiation to the raw position traces and to the splined position traces is then performed to confirm that this preservation of the average profiles in the position domain applies also to the average velocity profiles. 23 In our case, the test sets, one for each direction, were generated by pooling the saccade with the highest peak velocity from each of the 116 subjects. With the time expressed in ms and the time resolution 10 ms (100 Hz sampling rate), the optimal weight was 10−1.4 = 0.04. Albeit, in our case, each trace was coming from a different subject, the overall profile preservation between the average unfiltered and filtered velocity traces was very high. The same-weight spline filter, with a 10x interpolation, was temporarily used in the search for the saccadic onset and offset. The determination of SACSIZE and SACPEAK were then made using the non-interpolated position and velocity profiles. The results obtained using the 10x interpolated profiles also in the determination of SACSIZE and SACPEAK will be described in Appendix 1.
The calibration set was used for a linear recalibration of the eye position traces. The onset and offset were determined with the 2-segment fitting procedure described in Busettini and Mays 24 applied to the horizontal (for horizontal tasks) and vertical (for vertical tasks) calibrated 10x interpolated velocity traces. This procedure does not rely on a velocity or an acceleration threshold. Briefly, once a saccade is localized (a velocity above 50°/s), its peak is determined. A 60 ms interval starting at the point where the velocity goes above 50% of the peak value and going backward in time is defined as the interval where the search for the saccadic onset will be performed. A 120 ms interval starting at the point where the velocity goes back below 50% of the peak value and going forward in time is defined as the interval where the search for the saccadic offset will be performed. A 2-segment function, with one segment with free offset and zero slope and the second segment with the same offset (to guarantee continuity) but free slope, is fit inside each of the two search intervals. The joint point of the two segments in each interval is defined as saccadic onset and offset, respectively. These determinations are visually inspected and the starting points of both intervals and lengths can be manually adjusted, for example for saccades with decelerating phases longer than 120 ms or with complex profiles showing multiple peaks. In the latter case, the onset search interval is moved before the first peak and the offset search interval is moved after the last peak. As pointed out by the authors,24 this fitting method is preferable to a threshold method because it is independent of saccadic dynamics, working well also for very small saccades where threshold and peak velocity become comparable, and it is largely insensitive to local noise and pre- and post-saccadic drifts. It works well also when the saccades occur during ongoing smooth pursuit responses or asymmetric vergence responses without having to rely on acceleration traces, which can be very noisy. The joint points of the 2-segment functions can be seen as the transition points between fast and slow dynamics. Using the 10x onset and offset estimates, the nearest points in time on the 1x traces were selected as onset and offset. Saccadic size was determined as the change in eye position between onset and offset. Peak velocity was determined as the maximum eye velocity inside the saccadic interval. The first saccade after the target step was identified as the primary saccade and the analysis was limited to the primary saccade. Traditionally, rightward and upward target steps and eye movements are indicated as positive values and leftward and downward target steps and eye movements are indicated as negative values. To ease the comparisons between saccadic directions, in this paper all measures are shown as positive values.
To avoid inflating the quality of the parametric estimates of the main sequence model, determined using the Gauss-Newton method with least-square optimization, the point (0 ; 0), i.e., peak velocity = 0°/s for saccadic size = 0°, was not included in the estimations. The reported R2 is the mean-corrected R2, which is the most conservative of the R2 values. The amplitude of the 95% C.I.s is the difference between the upper P = .975 and the lower P = .025 limits, i.e., the full amplitude of the interval, not the ± value.
All statistical distributions were tested for normality. The χ2 statistical test for normality implemented in Systat is based on subdividing the data range in 10 equal-size bins without ceiling adjustments. Thus, the default degrees of freedom for a normal distribution test is 7. This test performs poorly with bins empty or with only a few observations.25 If the number of observations in some bins is too low, which often occurs at the edges of the data range, adjacent bins are fused together, reducing the actual number of bins and therefore also the degrees of freedom. The χ2 statistical test for normality becomes unreliable for small data sets. For the repeated saccadic tests (n=35) we used the Shapiro-Wilk test. For both tests we adopted an α level of 0.01.
All the histograms illustrated in this and the accompanying paper have 12 equal-size bins on a ceiling-adjusted and distribution-adjusted range, which is identified in each histogram with vertical dotted lines. To make the comparisons between saccadic directions easier, the x-axis range was then adjusted to be identical for the 4 saccadic directions but we maintained the original bin size. This approach was preferred to the use of the widest range among the 4 saccadic directions in determining the bin size due to the associated loss of histogram resolution for the horizontal sets, which have ranges of variability significantly narrower than the vertical sets.
RESULTS
Estimate of the Standard Model of the Saccadic Peak Velocity vs. Size Main Sequence
The left panel in Fig. 1 illustrates typical eye position and eye velocity temporal profiles for increasing amounts of eye rotation, i.e., saccadic size, indicated at the end of the position traces. The larger the saccadic size, the higher the peak velocity of the eye rotation. Non-interpolated traces are in black and 10x interpolated traces are in red. With the same color code, the peak velocity vs. size main sequence for all the saccades (n=15) of this leftward data set is shown in the right panel of Fig. 1, superimposed with the traditional main sequence model SACPEAK = Vmax × (1 – e−SACSIZE/SAT). We will focus here on the 1x (non-interpolated) data. See Appendix 1 for a discussion of the 10x interpolated data in this and subsequent figures and tables. The parametric results, shown above the x-axis of the right panel, are somewhat surprising, considering the quality of the fit (R2 = 0.968), with wide confidence intervals. For all 116 participants x 4 saccadic directions sets we determined the parameters Vmax and SAT. The model performed best for leftward saccades, with a R2 range from 0.747 to 0.996 and mean value 0.959, and worst for downward saccades, with a R2 range from 0.465 to 0.995 and mean value 0.912. Figure 2 shows histograms of the distributions of the Vmax values and Fig. 3 of the SAT values for all saccadic directions. The parameters of the normal distribution models are reported in Tab. 1. Rightward and leftward directions were almost identical in terms of scatter and in the parameters of the normal distributions. Upward and downward directions had larger scatter and wider parameter variability than the horizontal directions. Some of the larger scatter for vertical saccades may be due to tracking interferences by the upper and lower eyelids or by the eyelashes for large upward and downward eye eccentricities, causing alterations in the velocity profiles. The 95% C.I.s of the two parameters Vmax and SAT were quite large in all directions. By using the maximum likelihood method implemented in Systat and the χ2 test of normality, we verified that these distributions could be modeled as normal distributions, with P < .01 selected as the criteria for rejection of the normal distribution hypothesis (χ2, df and P values in Tab. 1). As population ranges for Vmax and SAT, reported in Tab. 1, we determined the P = .025 and P = .975 values of Vmax and SAT using the normal distribution models. The Vmax and SAT mean values were similar among directions (P > .01), with one exception: both paired and unpaired 2-tail t-tests indicated that upward Vmax and SAT means were statistically different (P < .01) with respect to the other directions, albeit with wide overlaps in the 95% C.I.s among all directions.
Figure 1.
Sample eye traces and peak velocity main sequence. Black: non-interpolated data. Red: 10x interpolated data. Left panel: eye position and eye velocity traces over time, showing evident increase in peak velocity for increasing size of the saccade, indicated at the end of the position traces. Right panel: Peak velocity vs. size main sequence for all the saccades in this data set (#22065 leftward saccades; n=15). The fit of the main sequence function has a remarkable R2 of 0.968 (1x data) and R2 of 0.961 (10x data). The values of the parameters Vmax and SAT together with their asymptotic standard error (ASE) and Wald 95% C.I. limits are reported in the right panel near the x-axis.
Figure 2.
Histograms of the distributions of the Vmax values of the standard main sequence model for the 116 × 4 saccadic directions. The histograms and the normal distribution models reported as solid curves are applied to the non-interpolated data. The dashed curves are normal distribution models applied to the interpolated data. The two dotted vertical bars identify the ceiling-adjusted and distribution-adjusted range selected for each histogram. This range was then parsed into 12 equal-size bars. To ease the comparison between directions, each x-axis was then resized to be identical for all saccadic directions while maintaining the original bin size.
Figure 3.
Histograms of the distributions of the SAT values of the standard main sequence model for the 116 × 4 saccadic directions. Identical layout of Figure 2.
Table 1.
Parameters, for each of the 4 directions, of the normal distribution models of the 116 Vmax and SAT values in Figs. 2 and 3. The “1x” rows list the results for the non-interpolated data and the “10x” rows for the 10x interpolated data (“Spline” column). Each row reports mean, standard deviation σ, value of the χ2 test statistic of normality with in parenthesis the degrees of freedom of the estimation (df), probability of the χ2 test statistic, value of the parameter @ P = .025 and @ P = .975, and size of the 95% C.I., defined as the difference between the values @ P = .975 and @ P = .025. A P < .01 in the probability of the χ2 test statistic was selected as rejection threshold of the normal distribution model, and all distributions had a P ≥ .01. The single asterisks in the Vmax section indicate a weak significance in the difference between the 1x and 10x mean values (P < .01). The double asterisks in the SAT section indicate the extremely significant shift in the mean SAT values for the 10x models with respect to the 1x models.
| Asymptotic Peak Velocity Vmax [°/s] SACPEAK = Vmax × (1-e−SACSIZE/SAT) n=116 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Direction | Spline | Mean | σ | χ2 (df) | P | Vmax @ P = .025 |
Vmax @ P = .975 |
95% C.I. |
| Right | 1x | 514 | 78 | 1.7 (3) | 0.64 | 361 | 666 | 305 |
| 10x | 514 | 74 | 1.2 (3) | 0.76 | 369 | 659 | 290 | |
| Left | 1x | 516 | 72 | 4.8 (4) | 0.31 | 375 | 656 | 281 |
| 10x | 516 | 71 | 4.8 (4) | 0.31 | 376 | 656 | 280 | |
| Up | 1x | 547 | 121 | 3.7 (5) | 0.60 | 310 | 785 | 475 |
| 10x | 552* | 114 | 3.7 (6) | 0.71 | 329 | 776 | 447 | |
| Down | 1x | 489 | 99 | 5.6 (4) | 0.23 | 294 | 683 | 389 |
| 10x | 493* | 95 | 2.3 (4) | 0.68 | 306 | 680 | 374 | |
| Saturation Coefficient SAT [°] SACPEAK = Vmax × (1-e-SACSIZE/SAT) n=116 | ||||||||
| Direction | Spline | Mean | σ | χ2 (df) | P | SAT @ P = .025 |
SAT @ P = .975 |
95% C.I. |
| Right | 1x | 9.6 | 2.0 | 6.9 (4) | 0.14 | 5.6 | 13.5 | 7.9 |
| 10x | 8.7** | 1.9 | 7.6 (5) | 0.18 | 5.1 | 12.4 | 7.3 | |
| Left | 1x | 9.6 | 1.7 | 8.6 (4) | 0.07 | 6.3 | 13.0 | 6.7 |
| 10x | 8.8** | 1.7 | 11.9 (4) | 0.02 | 5.5 | 12.1 | 6.6 | |
| Up | 1x | 10.6 | 2.9 | 11.0 (5) | 0.05 | 4.9 | 16.3 | 11.4 |
| 10x | 9.7** | 2.6 | 6.4 (4) | 0.17 | 4.6 | 14.8 | 10.2 | |
| Down | 1x | 9.6 | 2.6 | 9.8 (5) | 0.08 | 4.5 | 14.7 | 10.2 |
| 10x | 8.9** | 2.4 | 8.4 (5) | 0.14 | 4.2 | 13.6 | 9.4 | |
Vmax and SAT of SACPEAK = Vmax x (1 – e−SACSIZE/SAT) normal distribution parameters.
Direction = saccadic direction; Spline = cubic spline used on the position trace. 1x: no interpolation; 10x: 10 points interpolation; Mean = mean value (normal distribution) and σ: standard deviation (normal distribution); χ2 (df) = χ2 value and degrees of freedom of the χ2 test of normality; P: probability of the χ2 test of normality; @ P = .025 and @ P = .975 = estimate of the parameter at P = .025 and P = .975 of the normal distribution model; 95% C.I. = 95% confidence interval of the normal distribution model, defined as the parameter estimate @ P = .975 minus the parameter estimate @ P = .025
Correlation between Vmax and SAT
When fitting data with a model with two or more parameters, one of the guiding principles in the selection of the model equation is to have the parameters as orthogonal in the parameters’ space as possible. This maximizes the stability of the convergence of the model and minimizes the ASE and 95% Wald C.I.s, with each parameter independently controlling one single aspect of the data set. In theory, Vmax, the asymptotic peak velocity value of the standard main sequence model, and SAT, the speed with which this value is reached, could be independent, but is this the case for the human saccadic main sequence? Panel A of Fig. 4 illustrates the effects of keeping the value of SAT equal to the average of the SAT 1x values in Tab. 1 (SAT = 9.9°) while varying the value of Vmax between the lowest 1x P = .025 value (294°/s) and the highest 1x P = .975 value (785°/s). Panel B of Fig. 4 illustrates the effects of keeping the value of Vmax equal to the average of the Vmax 1x values in Tab. 1 (Vmax = 517°/s) while varying the value of SAT between the lowest 1x P = .025 value (4.5°) and the highest 1x P = .975 value (16.3°). It is evident that, inside our ranges of SACSIZE, Vmax and SAT, Vmax acts also on the slope of the rising phase of the main sequence and SAT acts also on the overall amplitude. This suggests a strong crosstalk between the 2 parameters, which is indirectly seen in the large asymptotic standard errors (ASE) and wide 95% Wald C.I.s even for the highest R2. The striking results reported in Fig. 5 are clear evidence that, in the human saccadic main sequence standard model, the two parameters Vmax and SAT are strongly correlated. To quantify this correlation, we used a simple linear model, Vmax = A + B × SAT, in order to determine how well Vmax can be predicted from the SAT value. The values for intercept A, slope B and R2 are remarkably similar for the 4 saccadic directions. The average value of the 4 intercepts is 179°/s [range 175 – 182°/s] and the average of the 4 slopes is 34.3 s−1 [range 32.7 – 35.3 s−1]. For all sets, quadratic and cubic parameters of a polynomial fit had their 95% Wald C.I.s including zero, indicating a strong linear relationship, and are not included in the fit estimates.
Figure 4.
Crossed effects of Vmax and SAT on the main sequence profiles. Panel A: Main sequence simulated profiles obtained by keeping SAT constant at the average 1x SAT from Table 1 (9.9°) and varying Vmax between the extremes of the 1× 95% Wald C.I.s. Panel B: Main sequence simulated profiles obtained by keeping Vmax constant at the average 1x Vmax from Table 1 (517°/s) and varying SAT between the extremes of the 1× 95% Wald C.I.s.
Figure 5.
Correlation between Vmax and SAT for the 4 saccadic directions. The dots and the black linear regression lines are for the non-interpolated data. The red linear regression lines are for the 10x interpolated data. The R2 values are indicated near the regressions lines. The values for intercept A and slope B, together with their asymptotic standard error (ASE) and Wald 95% C.I. limits are reported near the x-axis. The four green dots in the LEFT and UP graphs indicate the 1x data sets that will be utilized in Figure 7 to evaluate if a 1-parameter model in SAT is an acceptable approximation.
Estimating Vmax from SAT
The correlation between SAT and Vmax, illustrated in Fig. 5, makes it biologically plausible that the non-linearity of the main sequence, quantified by SAT, is the determinant element of the main sequence profile, with Vmax an indirect consequence of SAT. An important clinical question is if brain damage and disease can alter this relationship. To evaluate the range of variability of this correlation in our population, for each data set we determined the statistical distribution of Vmax-Vmaxest, i.e., of the deviation of the actual Vmax of the set with respect to the Vmaxest estimated from the SAT value using the regression coefficients reported in Fig. 5 for its saccadic direction. The results are illustrated in Fig. 6 and in Tab. 2, with similar layouts of Figs. 2 and 3 and Tab. 1. Starting from Fig. 6 and Tab. 2, all reported results are from non-interpolated data and the labeling as such was discontinued for brevity. The χ2 test statistic for a normal distribution gave a probability P ≥ .01 for all sets, suggesting that a normal distribution of Vmax-Vmaxest is an acceptable assumption for all saccadic directions, with P < .01 the criteria for rejection of the normal distribution hypothesis. For horizontal saccades, the prediction of Vmax from SAT was remarkably robust, with the largest P = .025 or P = .975 value of Vmax-Vmaxest of 65.7°/s. For vertical saccades, the prediction was not as strong, with the largest P = .025 or P = .975 value of Vmax-Vmaxest of 111.5°/s. A key clinical consequence of these results is that, for each SAT value, our reference population shows a range of actually observed Vmax values which is only a fraction of the full 95% C.I. in Tab. 1. Values of Vmax-Vmaxest outside these ranges might indicate a breakdown in the natural relationship between SAT and Vmax, even if both values are well inside their respective 95% C.I.s.
Figure 6.
Histograms of the distributions of the Vmax-Vmaxest values for the 116 × 4 saccadic directions. Vmax is the actual value of the set. Vmaxest is estimated from the SAT value of the set using the regression parameters reported in Figure 5 for its saccadic direction. The solid curves are normal distribution models. Identical layout of Figure 2.
Table 2.
Parameters of the normal distribution models of the Vmax-Vmaxest values for the 116 × 4 data sets in Figure 6. Identical layout of Table 1.
| Vmax - Vmaxest [°/s] n=116 | |||||||
|---|---|---|---|---|---|---|---|
| Direction | Mean | σ | χ2 (df) | P | @ P = .025 |
@ P = .975 |
95% C.I. |
| Right | −0.4 | 32.9 | 4.6 (6) | 0.60 | −64.8 | 64.1 | 128.9 |
| Left | 2.0 | 32.5 | 14.0 (6) | 0.03 | −61.6 | 65.7 | 127.3 |
| Up | 0.6 | 56.6 | 9.8 (6) | 0.13 | −110.3 | 111.5 | 221.8 |
| Down | −0.6 | 49.8 | 3.7 (5) | 0.60 | −98.2 | 97.0 | 195.2 |
Vmaxest and SAT of SACPEAK = Vmaxest x (1 – e−SACSIZE/SAT) normal distribution parameters.
Direction = saccadic direction; Mean = mean value (normal distribution) and σ: standard deviation (normal distribution); χ2 (df) = χ2 value and degrees of freedom of the χ2 test of normality; P: probability of the χ2 test of normality; @ P = .025 and @ P = .975 = estimate of the parameter at P = .025 and P = .975 of the normal distribution model; 95% C.I. = 95% confidence interval of the normal distribution model, defined as the parameter estimate @ P = .975 minus the parameter estimate @ P = .025.
Quantification of the Main Sequence Using SAT Alone
A direct consequence of the linear correlation between Vmax and SAT is that for the data sets along the regression line, Vmax can be computed from SAT using the equation Vmax = A + B × SAT, with the values of A and B given in Fig. 5 for each saccadic direction. Quantifying the main sequence with a single parameter would allow direct comparisons between data sets using the parameter’s 95% Wald C.I.s. The question is how the 1-parameter model in SAT, SACPEAK = (AFIG5 + BFIG5 × SAT1-par) × (1 – e−SACSIZE/SAT1-par) behaves when a data set is far from the linear regression. Is the 1-parameter SAT1-par model an acceptable approximation? As test sets we used the two data sets indicated with a green dot in the leftward direction panel (points A and B) and the two data sets indicated with a green dot in the upward direction panel (points C and D) in Fig. 5. These sets are among the furthest away from the regression lines in the horizontal and vertical directions respectively. We fitted their main sequence with both the 1-parameter (SAT1-par) and the 2-parameter model (Vmax; SAT) in order to determine the degradation of the fit using the 1-parameter model, and the results are illustrated in Fig. 7. In each panel, the black curve is the 2-parameter model and the red curve is the 1-parameter model. The green curve labeled “Vmaxest” is the main sequence model with the original SAT value of the data set and Vmax = Vmaxest from the linear regression to illustrate the amount of deviation of the actual main sequence profile from the model with the same SAT but on the regression line. When Vmax is below Vmaxest (points A and C) there is a decrease of SAT1-par from the original SAT value in an attempt to curtail the gain effect of SAT at the larger SACSIZE values, illustrated in the right panel of Fig. 4. The change in the SAT value results in a more rapid rise of the 1-parameter model for small SACSIZE values and a flattening of the curve at higher SACSIZE values when compared with the 2-parameter model. This effect is evident for point C, where the 1-parameter model clearly fails. In a mirror-image behavior, when Vmax is above Vmaxest (points B and D) there is an increase of SAT1-par in an attempt to maximize the gain effect of SAT at the larger SACSIZE values. The change in the SAT value results in a slower rise of the 1-parameter model for small SACSIZE values but this rise continues for the larger SACSIZE values. The effect is quite dramatic for point D, where the 1-parameter model is not applicable to this data set. The actions on the main sequence profiles by the two parameters Vmax and SAT are too dissimilar, albeit strongly interacting, for SAT1-par to be able to compensate for the difference between Vmax and Vmaxest without introducing unacceptable distortions. Although points C and D are outliers, the results in Fig. 7 show that the correlation between SAT and Vmax is not strong enough to be able to support a 1-parameter model of the main sequence with Vmax estimated from SAT, particularly for the vertical directions. We also tested the 1-parameter square-root model of the peak velocity main sequence, proposed by Lebedev et al. in 1996.26 It performed similarly to the 1-parameter model in SAT but with a higher number of data sets where it failed to fit the data. The main reason for these failures is that the square root function has a gradual curvature for increasing SACSIZE values and it fails to reproduce the main sequence saturation at the larger SACSIZE values when the saturation is strong, i.e., for data sets with small SAT values, like the one reported in Fig. 10 (SAT=7.1).
Figure 7.
Behavior of the 2-parameter (Vmax; SAT) and 1-parameter (SAT1-par) main sequence models applied to the data sets labeled A, B, C and D in Figure 5. In each panel, the black curve is the 2-parameter model and the red curve is the 1-parameter model. With the same color code, the R2 of the fits are indicated near the respective curve and the model parameters are reported near the x-axis. The green curve labeled “Vmaxest” is the main sequence model with the original SAT value of the data set and Vmax = Vmaxest.
Figure 10.
Graphical illustration of the 3-step process used to determine if a data set of a patient (#21073 rightward set) is inside the parametric range of the reference population. Left panel: main sequence and standard 2-parameter main sequence model (red curve) of the data set, the parameters of which are reported also in the right panel as the red dot. The R2 of the model is indicated near the fit, and the model parameters are reported near the x-axis. The green curve labeled “Vmaxest” is the main sequence model with the SAT value of the data set and Vmax = Vmaxest, represented also in the right panel as the green dot. The right panel replicates the rightward data from Figure 5. The grey area is delimited by the 95% C.I.s of Vmax and SAT from Table 1. The dashed lines are parallel to the regression line and shifted by the upward and downward limits of the 95% C.I. of the rightward Vmax-Vmaxest distribution from Table 2. Only data sets with Vmax and SAT simultaneously inside the grey area and the dashed lines are considered inside the reference population. The three light-blue dots identify the P = .025, mean, and P = .975 (Vmax; SAT) pairs from Table 1 (rightward) used in Figure 12.
Although not strong enough to allow the reduction of the standard main sequence model to a 1-parameter model, the correlation between Vmax and SAT (Fig. 5), combined with their crossed non-linear interaction (Fig. 4), has devastating effects on the stability and reproducibility between sessions of their values. These effects are evident when comparing the values of Vmax of the two sessions in our 35 subjects from which we have repeated data (Fig. 8) and they are even more dramatic when comparing the values of SAT (Fig. 9While there is some reasonable reproducibility between sessions of Vmax for the horizontal sets, it is very poor for the vertical sets. There is no reproducibility for SAT in any direction.
Figure 8.
Comparison of the Vmax estimates between the first session (Vmax1) and the second session (Vmax2) for the 35 subjects we have repeated saccadic acquisitions. The black lines are linear regression lines, which R2 values are indicated near the regressions lines. The values for intercept A and slope B, together with their asymptotic standard error (ASE) and Wald 95% C.I. limits are reported near the x-axis.
Figure 9.
Comparison of the SAT estimates between the first session (SAT1) and the second session (SAT2) for the 35 subjects we have repeated saccadic acquisitions. Same layout of Figure 8.
Based on the R2 values, the 2-parameter model SACPEAK = Vmax × (1 – e−SACSIZE/SAT), which is the most used method to quantify the main sequence, is a robust numerical quantification of human main sequence profiles. At the same time, ignoring the correlation between Vmax and SAT and simply adopting the overall 95% C.I.s of Vmax and SAT (Tab. 1) as the range of saccadic dynamics of a reference population is clearly invalid. Only a fraction of the possible Vmax and SAT pairs is actually observed. The reproducibility of the Vmax and SAT values between sessions is also very poor. In the discussion, we will present a 3-step process that overcomes these issues by including the correlation in the determination of whether a data set is inside or outside a reference population and how the interplay between Vmax and SAT directly affects the main sequence profiles.
DISCUSSION
Quantification of the Saccadic Dynamics Range of a Reference Population
A typical process, often used in commercial clinical systems, is to gather a large number of SACPEAK vs SACSIZE data points from a reference population and build a threshold main sequence curve. A participant from a target population with a high number of data points below this threshold curve, following a statistical criterion of some kind, will be flagged as showing abnormally slow saccadic dynamics. Although it offers a rapid visual determination of the results from a clinical standpoint, it is difficult to translate this process into a compact numerical form. It is also not applicable when comparing two data sets. From the average R2 of the fits, the Vmax and SAT values of the standard main sequence model SACPEAK = Vmax × (1 – e−SACSIZE/SAT) offer a robust numerical quantification of the main sequence profiles. These values are much less representative when we consider their wide ASE and 95% Wald C.I.s. A 2-parameter model requires a much higher number of data points than a 1-parameter model for comparable statistical significance, particularly when the two parameters are strongly correlated. Even small changes in the main sequence profiles can cause large changes in the model parameters, affecting stability and reproducibility of the parametric results.
Figure 7 shows that the 2-parameter standard main sequence model cannot be reduced to a 1-parameter model in SAT (SAT1-par) using the correlation between Vmax and SAT to estimate the value of Vmax from SAT. This negative result is most likely to exacerbate when dealing with patients with altered main sequences. Their Vmax and SAT values may fall further away from the regression lines than our examples in Fig. 7. Nonetheless, simply using the 95% C.I.s of Vmax and SAT reported Tab. 1 vastly overestimates the actual parametric variability of a population. Due to the correlation between the two parameters, only a fraction of all the potential Vmax and SAT pairs defined by these two C.I.s are actually observed. The 3-step process described below offers a better approach to determine whether a data set is inside or outside the reference population by taking into account this correlation. For each saccadic direction, the reference population in this process is defined by 8 parameters: the traditional upper and lower limits of the 95% C.I.s of Vmax and SAT, the intercept and slope of the linear regression between Vmax and SAT, and the upper and lower limits of the 95% C.I. of Vmax-Vmaxest. The first step is the traditional estimate: are the Vmax and/or SAT values of the data set under evaluation inside the Vmax and SAT 95% C.I.s of the reference population in Tab. 1? If the answer is no, the set is flagged as “outside” the reference population and both the traditional and the 3-step processes conclude. If both the Vmax and SAT values are inside the reference ranges, the traditional process flags the set as “inside” and the process concludes. We propose two additional steps, in order to take into account the correlation between Vmax and SAT. The second step is to determine the Vmaxest value from the SAT of the data set, using the regression reported in Fig. 5. The third step is to determine the Vmax-Vmaxest value and whether this value is inside or outside the 95% C.I. of the reference population, given in Tab. 2. An example of this process is illustrated in Fig. 10 for a rightward data set obtained from one of our patients. Is the patient’s rightward main sequence inside or outside the reference population? The main sequence of this patient, illustrated in the left panel of Fig. 10, has a remarkable R2 = 0.985, with Vmax = 382°/s and SAT = 7.1° (red dot in Fig. 10 right panel). Both Vmax and SAT values are inside the 95% C.I.s in Tab. 1 for rightward saccades, i.e., they are inside the grey area in the right panel of Fig. 10. The dashed lines are parallel to the regression line and shifted by the upward and downward values of the 95% C.I. of the Vmax-Vmaxest distribution. This panel clearly illustrates how the actual 95% range of variability of Vmax and SAT, i.e., the area simultaneously contained inside the grey area and the dashed lines, is only a fraction of the total grey area. The Vmaxest value is 427°/s (green dot in Fig. 10 right panel), estimated using the rightward regression parameters in Fig. 5, and therefore Vmax-Vmaxest = −45°/s. For rightward saccades, the P = .025 value for Vmax-Vmaxest in Tab. 2 is −64.8°/s. Following our criteria, the main sequence for the rightward saccades of this patient is inside the 95% adjusted C.I. of the reference population. Note that this method does not necessarily require the correlation between the model parameters to be linear, the distributions to be normal or the C.I.s to be the 95% C.I.s, once proper adjustments are adopted to deal with non-linear estimates of Vmaxest, non-Gaussian distributions or different P limits of the C.I.s.
The process described above can be used to determine, for each saccadic direction, the variability between sessions of the correlation between Vmax and SAT and to see how many of the (Vmax; SAT) pairs from the first and the second session are outside the reference area determined by the first session. The results are illustrated in Fig. 11 for the 4 saccadic directions (n=35). The dynamics variability associated with the first session, defined as in Fig. 10, is identified by the dashed polygon in each panel. The black dots are the (Vmax; SAT) pairs from the first session and the red dots are the pairs from the second session. All directions present two common features. A comparable number of pairs (≤3) from the two sessions fall outside the Vmax and SAT C.I.s. from the first session, which is consistent with the use of 95% C.I.s and not absolute ranges. The slope of the regression associated with the second session (in red) is lower than the slope of the regression associated with the first session (in black). For three directions, its value is outside the 95% C.I. of the slope of the first session. This slope rotation causes some additional pairs from the second session (≤4) to fall below the reference area defined by the first session. Several of the subjects told us that they were tired after the first sessions and struggling to remain focused on the task and to keep their eyes fully open, which is possibly reflected in the data as degraded dynamics. Note that no pair from the second session is above the reference area defined by the first session. These results are quite remarkable when compared with the poor between-session reproducibility of Vmax and SAT, illustrated in Figs. 8 and 9. In fact, most reliability studies have avoided the use of Vmax and SAT. Roy-Byrne et al.27 used a 3-parameter main sequence model to determine, by interpolation, the saccadic peak velocity of 20° saccades as representative of the overall dynamics of the subject and used these estimated values for their reliability analysis. Meyhofer et al.28 used a fixed size of the target steps (rightward or leftward 10°), ignoring the actual variability of saccadic gain and therefore associated variability in peak velocity for a given target step and potential rightward/leftward asymmetries. In a detailed oculomotor reliability study, Balgary et al.29 used the 1-parameter square-root model of the main sequence.26 Although a proper reproducibility study is needed, our preliminary data suggest a step in the right direction in offering a robust definition of the range of dynamic variability of a population.
Figure 11.
Comparison of the results from the first and the second session (n=35) utilizing the 3-step process introduced in Figure 10. The reference areas associated with the first session (dashed polygons) are determined as in Figure 10. Superimposed to this reference area are, in black, the (Vmax; SAT) pairs from the first session with the associated linear regression. The data from the second session are in red. With the same color code, the R2 values are indicated near the regressions lines and the values for intercept A and slope B, together with their asymptotic standard error (ASE) and Wald 95% C.I. limits are reported near the x-axis.
Unfortunately, this method is not applicable when comparing two data sets, for example pre- and post-concussion sets from the same athlete. The strong non-linearity of the main sequence and the fact that the SACSIZE values in the pre-concussion (SACSIZEpre) and post-concussion (SACSIZEpost) sets do not normally match preclude the use of traditional ANOVA statistical methods. For example, the athlete might present deeply altered saccadic gain after a concussion but the movements have normal dynamics for a given saccadic size, consistent with the fact that saccadic gain and dynamics are determined in different brain areas.1,2 In this case, we may apply an approach similar to the one that we used in our sedation study.3 The 2-parameter main sequence model of the pre-concussion set (SACPEAKpre vs. SACSIZEpre) is used to compute the pre-concussion peak velocity estimate (SACPEAKpreest) for each of the post-concussion SACSIZEpost values. This re-mapping process co-registers the pre- and post-concussion peak velocities to matching SACSIZE values. The SACPEAKpost - SACPEAKpreest set of values, now with matching SACSIZE values, is tested if significantly different from 0. A requirement of this approach is that the set used as reference, in our case the pre-concussion set, must allow a reliable determination of the main sequence model for the entire range of SACSIZEpost values. This is not required for the post-concussion set, the main sequence model of which is not computed.
Physiological Consequences of the Correlation between Vmax and SAT
In order to understand the consequences of the correlation between Vmax and SAT from a biological point of view, we analyzed the changes in the main sequence profiles while moving inside the adjusted 95% C.I.s of the two parameters, illustrated in Figs. 10 and 11. As main sequence profile simulations to compare, for each direction we selected three (Vmax; SAT) pairs, based on the 95% C.I.s in Tab. 1: the P = .025 pair, the mean pair, and the P = .975 pair. For the rightward set, these are the three light-blue dots in the right panel of Fig. 10. Note that the P = .025 and P = .975 pairs, which define the lower left and upper right corners of the grey area, as well as the mean pair, are very close to the regression line. This observation applies to all directions. Thus, these pairs also well represent the changes in the main sequence profile while moving along the regression line. The results are illustrated in Fig. 12 and the values of SACPEAK @ SACSIZE 5°,10°, 15°, 20°, 25° and 30° (dotted lines) are reported in Tab. 3 together with the relative % change (Δ%) with respect to the correspondent SACPEAK value of the mean pair (in bold). When comparing Fig. 12 with Fig. 4, where SAT was kept constant but Vmax was changed over similar ranges (left panel) and where Vmax was kept constant but SAT was changed over similar ranges (right panel), the effects of the correlation between Vmax and SAT are quite striking. In the following discussion, we will use the rightward data for brevity, but identical conclusions can be extracted from the other three directions, described in Tab. 3. For the P = .025 (Vmax; SAT) pair, Vmax is 30% smaller than the average Vmax value of the population and SAT is 42% smaller than the average SAT value of the population. Due to the interaction between the two parameters, there is no change in the profiles up to SACSIZE ~7°. Actually, at SACSIZE = 5° the peak velocity for the P = .025 pair is slightly higher than the value for the mean pair and the peak velocity for the P = .975 pair is slightly lower. Even at SACSIZE = 15°, which is the oculomotor range covered by most studies, including our sedation report,3 the peak velocity for the P = .025 pair is only 17% slower, a value that is much less than the 30% decrease for Vmax and the 42% decrease for SAT. Only at SACSIZE = 30°, the peak velocity decrease (27%) is actually comparable to the decrease in Vmax (30%), but still less than the decrease in SAT (42%). For the P = .975 pair, this squashing effect is even more pronounced: the green curves are closer to the black curves than the red curves. At SACSIZE = 15°, the peak velocity for the P = .975 pair is only 10% faster, a value that is 1/3 of the 30% change for Vmax and less than 1/4 of the 41% change for SAT with respect to the mean values. Even at SACSIZE = 30°, the peak velocity increase is only 21%. It is important to note that a target step of 30° seldom generates a 30° saccade. Larger target steps increase the probability of the gaze transfer being achieved with a hypometric primary saccade followed by one or more correctives.
Figure 12.
Main sequence simulations using the P = .025, mean and P = .975 (Vmax; SAT) pairs in Table 1 for the 4 saccadic directions. The peak velocity values of these models @ SACSIZE 5°, 10°, 15°, 20°, 25° and 30° (dashed lines) are reported in Table 3.
Table 3.
SACPEAK sample values of the models in Figure 12. For each direction, the table reports the peak velocity values at SACSIZE 5°, 10°, 15°, 20°, 25°, and 30° for the main sequence models associated with the P = .025 (Vmax; SAT) pair, the mean pair, and the P = .975 pair from Table 1. The relative % changes (Δ%) with respect to the correspondent Vmax, SAT and SACPEAK value of the mean pair are reported in bold.
| Actual Variation of SACPEAK Values Inside the 95% Confidence Intervals of Vmax and SAT from Table 1 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Direction | Vmax (Δ%) [°/s] |
SAT (Δ%) [°] |
SACPEAK @5° (Δ%) [°/s] |
SACPEAK@10° (Δ%) [°/s] |
SACPEAK @15° (Δ%) [°/s] |
SACPEAK @20° (Δ%) [°/s] |
SACPEAK @25° (Δ%) [°/s] |
SACPEAK@30° (Δ%) [°/s] |
| Right | 361 (−30) | 5.6 (−42) | 213 (+1.9) | 300 (−10) | 336 (−17) | 351 (−22) | 357 (−25) | 359 (−27) |
| 514 | 9.6 | 209 | 333 | 406 | 450 | 476 | 491 | |
| 666 (+30) | 13.5 (+41) | 206 (−1.4) | 348 (+4.5) | 447 (+10) | 515 (+14) | 561 (+18) | 594 (+21) | |
| Left | 375 (−27) | 6.3 (−34) | 205 (−1.9) | 298 (−11) | 340 (−17) | 359 (−21) | 368 (−23) | 372 (−25) |
| 516 | 9.6 | 209 | 334 | 408 | 452 | 478 | 493 | |
| 656 (+27) | 13.0 (+35) | 209 (0.0) | 352 (+5.4) | 449 (+10) | 515 (+14) | 560 (+17) | 591 (+20) | |
| Up | 310 (−43) | 4.9 (−54) | 198 (−3.9) | 270 (−19) | 295 (−29) | 305 (−34) | 308 (−38) | 309 (−40) |
| 547 | 10.6 | 206 | 334 | 414 | 464 | 495 | 515 | |
| 785 (+44) | 16.3 (+54) | 207 (+0.0) | 360 (+7.8) | 472 (+14) | 555 (+20) | 616 (+24) | 660 (+28) | |
| Down | 294 (−40) | 4.5 (−53) | 197 (−0.0) | 262 (−17) | 284 (−27) | 291 (−32) | 293 (−35) | 294 (−37) |
| 489 | 9.6 | 199 | 316 | 387 | 428 | 453 | 467 | |
| 683 (+40) | 14.7 (+53) | 197 (0.0) | 337 (+6.6) | 437 (+13) | 508 (+19) | 558 (+23) | 594 (+27) | |
Direction = saccadic direction
Vmax and SAT of the main sequence (used in Figure 12)
SACPEAK values estimated from SACPEAK = Vmax × (1 – e−SACSIZE/SAT) for SACSIZE = 5, 10, 15, 20, 25 and 30°.
The value in bold is the relative change with respect to the value from the main sequence associated with the mean pair, which has no entry, being the variation, by definition, zero.
These surprising results show the absolute need to select the largest possible SACSIZE range allowed by the stimulus delivery and eye recording systems in order to get as deep as possible into large SACSIZE values, where the dynamical stabilizing effect of the correlation of Vmax and SAT is less effective. At the same time, acquiring only large saccades would make the determination of Vmax and SAT unreliable. A uniform coverage of saccadic sizes inside the selected range, and therefore including small saccades, is needed to have a veridical main sequence profile. A large SACSIZE range is a significant challenge, both technically and physiologically. Video-oculographic recording systems struggle to get reliable data beyond 15° eccentricities, particularly in the upward and downward directions. Our protocol, with the target position at the start of the next trial being the position at the end of the previous trial, can be designed to cover saccades as large as the total oculomotor range of the eye tracker, but this methodology has shortcomings. When the target is at an eccentric position, it is likely that the next step will be centripetal, adding predictability to the protocol and potential alterations in the latency measures. It may have also slightly affected saccadic dynamics.19 An additional fully randomized protocol with the target starting at the center at every trial is required for proper latency estimates. It is also difficult to obtain large primary saccades, in some subjects more than in others, irrespective of the technology used.
SUMMARY
Although the 2-parameter model SACPEAK = Vmax × (1 – e−SACSIZE/SAT) is widely accepted as the standard method to quantify the saccadic main sequence, our study shows that the two parameters Vmax and SAT are linearly correlated. This correlation is not strong enough to be able to estimate the value of Vmax from SAT and therefore to reduce the 2-parameter model to a 1-parameter model, but it has major repercussions in determining whether a data set is inside or outside a reference population. We propose a 3-step process that takes into account this correlation and making this determination much more robust. Furthermore, the interaction between the two parameters generates a strong squashing effect on the variability in the main sequence profiles when compared with the variability of Vmax and SAT. Particularly for small saccades, variations in Vmax and SAT greatly overestimate the actual variations in the main sequence profiles.
Supplementary Material
ACKNOWLEDGMENTS
This research was funded by a start-up grant from the NIH-NEI P30 EY-03039 Vision Science Research Center Core Grant and an Alabama Department of Commerce grant. The authors would like to thank Drs. James Johnston, Katherine Weise and Mark Swanson for their assistance as members of the UAB VOR Clinic and Dr. Kevin Schultz for the helpful discussions and review of the manuscript.
APPENDIX
Appendix 1, available at [LWW insert ink]: video eye tracking systems with 100 frame/s cameras are very common, particularly in clinical integrated vestibular/oculomotor recording systems, but are considered too slow for saccades. Sampling frequencies less than 200–300 Hz cause an underestimation of saccadic peak velocity. Mack et al.15 have demonstrated that numerical oversampling can reduce this effect. In the Appendix, we analyzed the effect of 10-point oversampling of the eye position traces on the Vmax and SAT estimates.
REFERENCES
- 1.Leigh RJ, Zee DS. The saccadic system In: The Neurology of Eye Movements, 5th ed. New York: Oxford University Press; 2015:169–288. [Google Scholar]
- 2.Moschovakis AK, Highstein SM. The Anatomy and Physiology of Primate Neurons that Control Rapid Eye Movements. Annu Rev Neurosci 1994;17:465–88. [DOI] [PubMed] [Google Scholar]
- 3.Busettini C, Frölich MA. Effects of Mild to Moderate Sedation on Saccadic Eye Movements. Behav Brain Res 2014;272:286–302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Robinson DA. Oculomotor control signals In: Lennerstrand G, ed. Basic Mechanisms of Ocular Motility and Their Clinical Implications Oxford: Pergamon Press; 1975:337–74. [Google Scholar]
- 5.Moschovakis AK, Kitama T, Dalezios Y, et al. An Anatomical Substrate for the Spatiotemporal Transformation. J Neurosci 1998;18:10219–29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Sparks DL. The Brainstem Control of Saccadic Eye Movements. Nat Rev Neurosci 2002;3:952–64. [DOI] [PubMed] [Google Scholar]
- 7.Bahill AT, Adler D, Stark L. Most Naturally Occuring Human Saccades have Magnitudes of 15 Degrees or Less. Invest Ophthalmol 1975;14:468–9. [PubMed] [Google Scholar]
- 8.Guitton D, Volle M. Gaze Control in Humans: Eye-Head Coordination during Orienting Movements to Targets within and beyond the Oculomotor Range. J Neurophysiol 1987;58:427–59. [DOI] [PubMed] [Google Scholar]
- 9.Barnes G Vestibulo-Ocular Function during Coordinated Head and Eye Movements to Acquire Visual Targets. J Physiol Lond 1979;287:127–47. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Stahl JS. Amplitude of Human Head Movements Associated with Horizontal Saccades. Exp Brain Res 1999;126:41–54. [DOI] [PubMed] [Google Scholar]
- 11.Weber RB, Daroff RB. The Metrics of Horizontal Saccadic Eye Movements in Normal Humans. Vision Res 1971;11:921–8. [DOI] [PubMed] [Google Scholar]
- 12.Bahill AT, Clark MR, Stark L. The Main Sequence: A Tool for Studying Human Eye Movements. Math Biosci 1975;24:191–204. [Google Scholar]
- 13.Baloh RW, Sills AW, Kumley WE, et al. Quantitative Measurement of Saccades Amplitude, Duration and Velocity. Neurol 1975;25:1065–70. [DOI] [PubMed] [Google Scholar]
- 14.Bahill AT, Brockenbrough A, Troost BT. Variability and Development of a Normative Data Base for Saccadic Eye Movements. Invest Ophthalmol Vis Sci 1981;21:116–25. [PubMed] [Google Scholar]
- 15.Mack DJ, Belfanti S, Schwarz U. The Effect of Sampling Rate and Lowpass Filters on Saccades - a Modeling Approach. Behav Res Methods 2017;49:2146–62. [DOI] [PubMed] [Google Scholar]
- 16.Balaban C, Hoffer ME, Szczupak M, et al. Oculomotor, Vestibular, and Reaction Time Tests in Mild Traumatic Brain Injury. PLoS One 2016;11:e162168. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Hoffer ME, Balaban C, Szczupak M, et al. The Use of Oculomotor, Vestibular, and Reaction Time Tests to Assess Mild Traumatic Brain Injury (mTBI) over Time. Laryngoscope Investig Otolaryngol 2017;2:157–65. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Moore ST, Haslwanter T, Curthoys IS, et al. A Geometric Basis for Measurement of Three-Dimensional Eye Position Using Image Processing. Vision Res 1996;36:440–60. [DOI] [PubMed] [Google Scholar]
- 19.Bieg H-J, Bresciani J-P, Bülthoff HH, et al. Looking for Discriminating is Different from Looking for Looking’s Sake. PLoS One 2012;7:e45445. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Fuller JH. Eye Position and Target Amplitude Effects on Human Visual Saccadic Latencies. Exp Brain Res 1996;109:457–66. [DOI] [PubMed] [Google Scholar]
- 21.Collewijn H, Erkelens CJ, Steinman RM. Voluntary Binocular Gaze-Shifts in the Plane of Regard: Dynamics of Version and Vergence. Vision Res 1995;35:3335–58. [DOI] [PubMed] [Google Scholar]
- 22.Eubank RL. Spline smoothing and nonparametric regression In: Owen DB, ed. Statistics: Textbooks and Monographs New York: Marcel Dekker; 1988. [Google Scholar]
- 23.Busettini C, Miles FA, Schwarz U. Ocular Responses to Translation and their Dependence on Viewing Distance. II. Motion of the Scene. J Neurophysiol 1991;66:865–78. [DOI] [PubMed] [Google Scholar]
- 24.Busettini C, Mays LE. Saccade-Vergence Interactions in Macaques. I. Test of the Omnipause Multiply Model. J Neurophysiol 2005;94:2295–311. [DOI] [PubMed] [Google Scholar]
- 25.Izenman AJ. Recent Developments in Nonparametric Density Estimation. J Amer Statist Assoc 1991;86:205–24. [Google Scholar]
- 26.Lebedev S, Van Gelder P, Tsui WH. Square-Root Relations between Main Saccadic Parameters. Invest Ophthalmol Vis Sci 1996;37:2750–58. [PubMed] [Google Scholar]
- 27.Roy-Byrne P, Radant A, Wingerson D, Cowley DS. Human Oculomotor Function. Reliability and Diurnal Variation. Biol Psychiatry 1995;38:92–7. [DOI] [PubMed] [Google Scholar]
- 28.Meyhöfer I, Bertsch K, Esser M, Ettinger U. Variance in Saccadic Eye Movements Reflects Stable Traits. Psychophysiol 2016;53:566–78. [DOI] [PubMed] [Google Scholar]
- 29.Bargary G, Bosten JM, Goodbourn PT, Lawrance-Owen AJ, Hogg RE, Mollon JD. Individual Differences in Human Eye Movements: An Oculomotor Signature? Vision Res 2017;141:157–69. [DOI] [PubMed] [Google Scholar]
- 30.Inchingolo P, Spanio M. On the Identification and Analysis of Saccadic Eye Movements - A Quantitative Study of the Processing Procedures. IEEE Trans Biomed Eng 1985;BME-32:683–95. [DOI] [PubMed] [Google Scholar]
- 31.Juhola M, Jantti V, Pyykko I. Effect of Sampling Frequencies on Computation of the Maximum Velocity of Saccadic Eye Movements. Biol Cybern 1985;53:67–72. [Google Scholar]
- 32.Schmitt K-U, Muser MH, Lanz C, et al. Comparing Eye Movements Recorded by Search Coil and Infrared Eye Tracking. J Clin Monit Comput 2007;21:49–53. [DOI] [PubMed] [Google Scholar]
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