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Visual Neuroscience

A Preliminary Study on Normalized Pattern-Reversal


Peripheral Field SSVEPs as a Potential Objective Indicator
of Useful Field of View Performance
Sheng Tong Lin1,2 and Lian Kheng Tey2
1Department of Electrical and Computer Engineering, National University of Singapore, Singapore
2
Defence Medical and Environmental Research Institute, DSO National Laboratories, Singapore

Correspondence: Sheng Tong Lin, 27 PURPOSE. Currently, the test for useful field of view (UFOV) typically relies on subjective
Medical Drive #11-00, Singapore feedback for detecting peripheral targets while attending to a central target. Steady-state visual
117510, Singapore; evoked potential (SSVEP) recorded from the occipital region of the brain has been frequently
shengtong@u.nus.edu, used as an objective alternative to replace subjective responses. Our aim was to investigate if a
lshengto@dso.org.sg.
short screening test can approximate UFOV performance objectively.
Submitted: October 18, 2015
Accepted: April 26, 2016 METHODS. We recorded SSVEPs during a simple peripheral task and a UFOV task with and
without distractors as well as 30-second offline SSVEPs for eight participants. In all tasks, a
Citation: Lin ST, Tey LK. A preliminary peripheral annulus ring of checkered reversal pattern was concurrently presented to the
study on normalized pattern-reversal
peripheral field SSVEPs as a potential
participants to elicit SSVEPs.
objective indicator of useful field of RESULTS. Orthogonal linear regression analysis found that normalized SSVEP during the UFOV
view performance. Invest Ophthal- task is predictive of peripheral target detection accuracy (F(1,6) ¼ 16.250, P < 0.01, n ¼ 8)
mol Vis Sci. 2016;57:3248–3256. for a task with peripheral distractors. However, this is not the case for a task without
DOI:10.1167/iovs.15-18439 distractors (F(1,6) ¼ 0.397, P ¼ 0.552), possibly due to near-perfect accuracy across most
participants. Offline normalized SSVEPs also only predicted the peripheral target detection
accuracy (F(1,6) ¼ 26.799, P < 0.01) for the UFOV task with peripheral distractors.
CONCLUSIONS. Difficult peripheral target detection with distractors is required to differentiate
UFOV performance in healthy young adults. The results suggested that offline normalized
SSVEPs elicited by 30 seconds of pattern-reversal checkered annulus from the peripheral
vision field can identify individuals with good UFOV performance under the stress of a
difficult peripheral task.
Keywords: SSVEP, UFOV, EEG

ypically, the current means of assessing attention is to put fixation point. It has been found that driving accidents are
T individuals through psychophysical tests. These tests rely
on subjective feedback and critical reaction-time response;
correlated with poorer UFOV in elderly drivers.3,4 On the other
hand, SSVEP is the neuronal signal typically from the occipital
hence time must be set aside for multiple trials to gather brain region that oscillates at the same frequency as the flicker/
accurate averages and to minimize effects of noise on data. flashing rate of the visual stimulus presented, and this oscillation
When a test has to be repeated to confirm results, the lengthy is modulated by how and where visual attention is deployed.5
testing time multiplies with each repetition. Also, a subjective The SSVEPs can be identified by recording brain signals using
test tends to rely on the motivational level of the individual. In electroencephalography (EEG) and then transforming the
the case in which a subjective test is used to select suitable recorded data into the frequency domain where SSVEP is seen
candidates for sports or military vocation, those mandated by as an increase in amplitude or power in the same frequency as
rules to participate may respond suboptimally to avoid good the stimulus presentation frequency.5,6 Relationships between
scores while those who are keen but are not confident about SSVEP and psychophysical assessment of attention have often
passing the test may try guessing tricks to achieve high scores. been studied. Mishra et al.7 found that action game players have
Recruiters would prefer shorter testing times while avoiding increased suppression of SSVEP amplitudes to unattended
subjectivity by having objective markers. peripheral stimuli. Many other effects of attention phenomena
In this study, the aim was to investigate steady-state visual in modulating SSVEP have also been studied.8–12 Not surprising-
evoked potential (SSVEP) as a neurosignal marker that can ly, objective feedback using SSVEP have become potential
quickly and objectively assess individuals for their attentional objective assessments for retinal functions,13 visual acuity,14
span around their primary gaze, or, to use a more recognized amblyopia,15 stereoscopic vision,16 binocular rivalry,17–19 and
term, the useful field of view (UFOV). Useful field of view is fatigue.20 In the past two decades, frequency-tagging technique
defined as the visual area from which one captures visual for SSVEPs has been used to study localized attention.21–24 This
information with a single glance without any eye movement.1–4 technique requires the visual stimulus of interest to flash at a
It indicates attentional performance toward the peripheral visual specific frequency; hence the stimulus is said to be ‘‘tagged’’
field while visual information is concurrently processed from a with a frequency. The amplitude of SSVEP is modulated by

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FIGURE 1. A single trial illustration for experiment 1.

attention to the flashing stimulus regardless of whether eye gaze METHODS


is directed to the stimulus or not.23,24 Consequently, many
studies have used changes in SSVEPs as the neuronal response Eight healthy participants (6 males, 2 females, ages 18–37)
during experiments in place of or to support the occurrence of with vision correctable to 6/6 for both far and near in both
specific subjective responses.21–24 eyes were recruited. The research protocols were consistent
While frequency tagging provides an excellent objective with the 2008 Declaration of Helsinki and all participants gave
alternative to subjective responses in studying overt and covert informed consent before the experiments. The experiments
attention, it is not the optimal way to reduce psychophysical were conducted using a 120-Hz light-emitting diode (LED)
testing time. Perhaps one of the ways to use SSVEPS objectively monitor (Asus VG278HR; ASUSTeK Computer, Inc., Taipei,
and at the same time reduce testing time is to look at offline Taiwan) with a typical computer equipped with a GTX 570
SSVEPs for their potential to approximate attentional perfor- Nvidia (Santa Clara, CA, USA) graphics card. The monitor
mance in actual psychophysical testing, that is, as a fast screen was positioned 70 cm from the participant’s eyes. A
screening tool. This satisfies the ideal requirements of shorter commercial off-the-shelf EEG system (ASA LAB waveguard64;
testing time and objectivity. Thus this preliminary study ANT-Neuro, Enschede, The Netherlands) was used to record
specifically examined a screening task that is a shorter and brain signals noninvasively by placing the sensors on the scalp
reduced version of an experimental task that elicits the at electrode positions O1, O2, and Oz of the occipital region
relevant SSVEP for predicting UFOV performances. according to the international 20–20 system standard, refer-
The approach is to first identify UFOV task(s) that can show enced to M1 and M2 positions on the mastoid. These electrode
differences in UFOV performance between individuals and at positions have been previously demonstrated to collect strong
the same time contains a flashing stimulus that elicits SSVEPs SSVEPs.25–27 All electrodes attained an impedance level of 10
effectively. To do so, we designed experimental paradigms kX or less before the start of the experiments. All participants
with a pattern-reversal annulus ring covering only the completed the following four experiments, and each partici-
peripheral visual field to collect peripheral field SSVEP levels. pant was familiarized using 10 trials of each experiment prior
Since SSVEPs are indicative of attentional resources and UFOV to the commencement of the experiment.
is about the extent of ‘‘spotlight’’ of attention, hypothetically,
SSVEPs stimulated by pattern-reversal stimulus at or near the Experiment 1: Baseline Peripheral Attentional
peripheral regions of this spotlight should carry information Task
about the outer boundary of the attentional field, in a way
similar to frequency tagging. Hence, we distributed peripheral The purpose of this task was to ensure that participants had
stimuli just outside this annulus to collect psychophysical data good covert attention to the peripheral visual field to begin
to verify if accuracy in detecting peripheral stimuli could be with. Each trial consisted of a baseline phase and an activity
predicted by this peripheral field SSVEP. If an association phase (Fig. 1). During the baseline phase, participants were
between performance and SSVEPs could be demonstrated, asked to fixate on a 0.83-Hz blinking cross (0.48 visual angle in
then one could extract the relevant elements of the size, 100 ms on, 1100 ms off) at the center of a gray screen.
experiment task to design a screening task capable of Around the blinking cross was an annulus ring of checkered
estimating UFOV performance. pattern at 7.5 reversals/s (each checkered box ¼ 1.58). The

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FIGURE 2. A single trial illustration for experiment 2.

mean illuminance of the checkered pattern was 150 cd/m2. entire trial or when a blink occurred during the last 5 seconds
The thickness of the ring spanned between 3.58 and 78 from of the baseline or activity phase.
the fixation cross center, leaving a center gray zone extending
from the fixating point to the inner edge of the ring. The Experiment 2: Central–Peripheral Dual Task
baseline phase lasted for 10 seconds, followed by the activity
phase, which was the same as the baseline phase except for The purpose of this task was to investigate the participant’s
two aspects. Firstly, just outside and around the annulus ring ability to direct simultaneous attention to both central and
were eight equally distributed small peripheral rings (1.48 peripheral stimulus. In other words, it measured the likelihood
visual angle in size). Only one of these circles was randomized of detecting a target at a given eccentricity while attending to a
to be filled black for 100 ms (onset of peripheral stimulus) central stimulus, thus assessing the breadth of allocated
every 1.2 seconds in synchrony with the fixation cross. attention in space (i.e., UFOV performance). The trial design
Secondly, the activity phase was randomized to last for 16 to was the same as for experiment 1 except that during activity
phase, the center fixating stimulus was a small circular ring,
32 seconds to allow sufficient time to adapt to the peripheral
0.1678 (10 arcmin) in size (Fig. 2). The circular ring presented a
stimuli. The end of the activity phase was indicated by a white-
0.0838 (5 arcmin) broken gap every 1.2 seconds in synchrony
noise screen, which was presented for 2 seconds; then
with the peripheral stimulus onset. The presentation of the gap
participants had to indicate which one of the peripheral
was randomized to occur at either the up, down, left, or right
circles last seen was filled black by pressing a response button part of the circular ring. The participant had to actively
corresponding to the peripheral circle position (e.g., numeric respond in real time to the gap direction using keyboard arrow
keypad number 1 ¼ bottom left circle, 9 ¼ top right circle). The buttons, while response to the peripheral stimulus occurred
purpose was to exclude anticipatory deployment of attention after the white noise when each trial ended. There were a total
to the periphery. Participants were told to hold their blink of 20 trials. The UFOV performance scores were recorded as
during the baseline and activity phase but were encouraged to the percentage of correct responses for the peripheral stimulus
blink to their satisfaction during the time when they made that occurred just before the white-noise onset. Note that trial
their response for the peripheral target after the white noise. results were excluded from score calculations if a participant
Participants were also told to take their time to make this did not make a correct response to the last central stimulus
response so as to have ample time for blinking and sufficient during its simultaneous onset with the last peripheral stimulus
rewetting of their eyes. Scores were recorded as the just before the white noise.
percentage of correct responses for the peripheral stimulus
that occurred just before the white-noise onset. There were a Experiment 3: Central–Peripheral Dual Task With
total of 20 trials. An eye tracker (SMI RED 250; SensoMotoric
Active Distractors
Instruments Gmb, Teltow, Germany) was used in this study to
ensure that participants’ eyes were fixating on the central The purpose of this task was to investigate that participant’s
stimulus. Trial results were discarded if a subject was found to ability to perform a central–peripheral attention task in the
fixate beyond 18 away from the central stimulus during the presence of peripheral distractors. The trial design was the

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FIGURE 3. A single trial illustration for experiment 3.

same as for experiment 2 except that during the activity phase, normalized SSVEP (nSSVEP) power for each experiment was
extra distractors between the peripheral circles in the form of calculated by taking the average 7.5-Hz power of the
black spots (1.48 visual angle in size) were presented along accumulated activity phase minus its accumulated preceding
with the onset of peripheral stimulus (Fig. 3). baseline phase’s power of the same frequency. Statistical
analyses on psychophysical and nSSVEPs were conducted
Experiment 4: Single-Trial Central Task using GraphPad Prism 7.0 (La Jolla, CA, USA).

In this experiment, there was only one trial, consisting of three


phases instead of two. The first phase was the ‘‘empty’’ phase RESULTS
with a central blinking cross identical to those used in the
All participants fixated within 18 away from the stimulus center
baseline phase against an empty gray background without a
in all trials, and no blinks during the last 5-second window
checkered annulus. The second phase was the baseline phase,
during the baseline and activity phases (where SSVEP signals
exactly the same as in the previous three experiments. The
were used for processing) were detected by the eye tracker. All
third phase was the activity phase, exactly the same as the participants attained a perfect score for responses to the last
activity phase in experiment 2 except that there was no central stimulus in experiments 2 and 3 during their
peripheral stimulus. Hence, all phases had no peripheral task. simultaneous onset with the last peripheral stimulus before
All phases lasted for a fixed 10 seconds each. The purpose was the white noise; hence no trials were excluded. In each of
to examine if the task could be an effective screening method experiments 1 to 3, the activity phase lasted for an average of
for producing SSVEPs that could predict psychophysical 24 seconds.
accuracies in experiments 1 to 3.
Behavioral Results
Data Processing
Responses to central stimuli were consistent with good central
The raw signal data from O1, O2, and Oz channels underwent fixation behavior for all participants in this preliminary study.
noise removal and band pass between 1 and 40 Hz using the Hence, all correct responses here were simplified to consider
zero-phase Hamming-windowed sinc Finite Impulse Response only correct responses to peripheral stimulus. On the other
(FIR) filters28 from the EEGLAB toolbox (Version 13.1.1) for hand, accuracy scores differed between different experiments
MATLAB R2013b (The MathWorks, Inc., Natick, MA, USA). For for response to peripheral stimuli/targets.
each channel and for each experiment, the last 5-second Figure 4 shows the percentage accuracy for peripheral
filtered data before the end of baseline phase were selected targets for each experiment. All participants scored nearly
and transformed into frequency domain from which 7.5-Hz perfect if not perfect in experiments 1 and 2, except for one
neural oscillation power (in dB ¼ 10Log10[lV2]) was obtained. who scored 70% in experiment 2. The accuracy scores started
The same procedure was done for the activity phase in each to spread within the participants in experiment 3, where the
experiment. Then the obtained power was averaged across all task difficulty was the greatest with the peripheral distractors.
three channels in their respective phases and experiments. The Repeated measures ANOVA with Greenhouse-Geisser correc-

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differences ¼ 0.544, 95% confidence interval [CI] [0.257,


0.831], P < 0.01) and experiments 2 and 3 (mean differences
¼ 0.5, 95% CI [0.224, 0.776], P < 0.01). There were no
significant differences between experiments 1 and 2 (mean
differences ¼ 0.044, 95% CI [0.037, 0.124], P ¼ 0.4). The
analysis suggested that experiments 1 and 2 were easily
accomplished and exhibited near-ceiling effects for all
participants except one. Hence, these two experiments did
not show difference in performance between the sampled
normal individuals, in contrast to experiment 3, which
showed a spread of performance differences between
individuals. It was also noted that the top three performers
in this experiment were a semiprofessional volleyball player, a
competitive basketball player, and a frequent video gamer
(role-playing game [RPG] player), respectively, in descending
order of top scores, while the rest of the participants were
office workers with negligible engagement in sports and
video games.
Repeated measures ANOVA indicated no significant differ-
ence in nSSVEPs between the experiments (F(2,14) ¼ 0.607, P
¼ 0.559). Figure 5 shows the mean values of nSSVEP for
experiments 1 to 3. However, looking at the small sample size
here and the high variance observed in Figure 5, there is a
possibility of decreasing nSSVEPs with increasing stimulus
difficulties given a case of low statistical power. Nevertheless,
until proven with a larger sample size, the difference in
nSSVEPs between experiments 2 and 3 seems to be small if
even existent.

Regression Analysis Results


Orthogonal linear regression (Deming regression) and Pearson
correlation analyses were done to study the relationship
between peripheral target accuracies and the corresponding
nSSVEPs for each experiment (Fig. 6).
Regression analysis showed a significant relationship
between target accuracies in experiment 3 and its nSSVEPs
(F(1,6) ¼ 16.250, P < 0.01), and their correlation coefficient, r
FIGURE 4. Percentage accuracy for peripheral targets in experiments 1 ¼ 0.854, indicates a strong positive relationship. There was no
to 3 for (a) individual and (b) group mean. Error bar: SE. significant relationship and correlation found between the
accuracy and nSSVEPs for experiment 1 (F(1,6) ¼ 0.065, r ¼
0.103, P ¼ 0.808) and experiment 2 (F(1,6) ¼ 0.397, r ¼ 0.249,
P ¼ 0.552). It was also noted that the previously mentioned
tion indicated a significant difference in percentage correct
top three performers had nSSVEPs larger than the rest of the
for peripheral targets among the experiments (F(1.122, participants.
7.855) ¼ 32.471, P < 0.01). A post hoc test with Bonferroni The strong relationship between nSSVEPs and behavioral
correction revealed that there were significant differences performance in experiment 3 triggers potential questions. If
only between experiment 1 and experiment 3 (mean nSSVEPs during a dual task with distractors are indeed a

FIGURE 5. Mean normalized SSVEPs in experiments 1 to 3. Error bar: SE.

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7.5-Hz SSVEPs strength here, can such a task be shortened to


a single trial to examine the possibility of a neuronal
screening procedure to quickly approximate UFOV perfor-
mance? Hence, experiment 4 was designed to investigate the
possibility of such a screening method.
Experiment 4 included an ‘‘empty’’ phase for comparison of
its SSVEPs with those in the baseline and activity phase. A very
significant difference in SSVEPs was observed between the
three phases (F(2,14) ¼ 6.802, P < 0.01). Note that this empty
phase was left out in experiments 1 to 3 to shorten their
testing duration. A post hoc test with Bonferroni correction
revealed that there were significant differences between
baseline phase and empty phase (mean differences ¼ 4.275,
95% CI [1.542, 7.007], P < 0.01). These results ensure that
SSVEPs were actively produced by the presentation of
checkered annulus rings during the baseline phase. There
were no significant differences between the activity phase and
empty phase (mean differences ¼ 2.645, 95% CI [1.95, 7.240],
P ¼ 0.344) or between activity phase and baseline phase (mean
differences ¼ 1.630, 95% CI [5.033, 1.773], P ¼ 0.534). The
differences between activity phase and the other two phases
are not significant, possibly due to the lack of statistical power
with the small sample size. The mean SSVEPs for all phases in
experiment 4 are shown in Figure 7.
The mean nSSVEP in the single-trial experiment 4 was 1.63
dB, and there were no significant differences between the
nSSVEPs from experiments 3 (Median ¼1.755) and 4 (Median
¼ 2.03), Wilcoxon test, z ¼ 0.0, P ¼ 0.99. This suggests that
nSSVEPs were not substantially affected by the occurrence of
peripheral targets. There is also the possibility that the nSSVEPs
between experiments 2 and 3 might be different by a small
percentage compared to the bigger percentage difference in
UFOV performance, but the significance cannot be determined
with the small sample size in this preliminary study.
Orthogonal linear regression analysis was conducted to
predict percentage accuracy of peripheral targets in all three
experiments based on the single-trial nSSVEP in experiment 4
(Fig. 8). Pearson correlation analysis was also done to study
the strength of the relationship between peripheral target
accuracies in experiments 1 to 3 and the nSSVEPs from
experiment 4.
Regression analysis showed a significant relationship
between experiment 1 and single-trial nSSVEP (F(1, 6) ¼
8.421, P ¼ 0.027), with r ¼ 0.764 indicating a strong positive
relationship. There was no significant relationship found
between percentage accuracy for experiment 2 and single-
trial nSSVEP (F(1,6) ¼ 1.341, r ¼ 0.427, P ¼ 0.291). A
significant relationship was found between percentage
accuracy in experiment 3 and single-trial nSSVEP (F(1,6) ¼
26.800, P < 0.01), with r ¼ 0.904 indicating a strong positive
relationship similar to what was shown in the regression
analysis in Figure 6c.

DISCUSSION
The first experiment demonstrated that all participants had
good peripheral vision to start with. The second experiment
FIGURE 6. Percentage accuracy versus normalized SSVEPs in experi-
ment 1 (a), 2 (b), and 3 (c). demonstrated that all participants could perform the central–
peripheral task well. The third experiment increased periph-
eral task difficulty by throwing in peripheral distractors on
top of the central–peripheral dual attention task to examine
strong indicator of performance and there is a high chance how individuals handle multiple pieces of information closer
that different peripheral target difficulties (with or without to the boundaries of UFOV. The peripheral distractors in
distractors) have a small effect on nSSVEP as seen in Figure 5 experiment 3 were shown to be effective in increasing
(experiment 2 versus experiment 3), can nSSVEPs derived peripheral task difficulty, providing a wider spread of
from a simple central stimulus task approximate dual-task performance differences between participants. Noticeably,
performance in experiment 3? And given the stability of the the relationship between UFOV performance and nSSVEP in

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FIGURE 7. Mean SSVEPs for ‘‘empty,’’ baseline, and activity phase for experiment 4. Error bar: SE.

experiment 3 is driven by two clusters of data in the current increased SSVEPs for attended flashing stimuli accompanied
small sample size. Hence, at the moment, implementing by an increased detection accuracy in a multiregion visual
peripheral distractors in experiment 3 could differentiate the search task. Hence, they are thought to be deploying some
participants’ performance into only two different levels. form of attention enhancement. Findings for the participant
Interestingly, peripheral task difficulty was not accompanied in experiment 3 who was a frequent RPG player seem to
by a corresponding significant difference in nSSVEPs when concur with the findings of Krishnan et al.29 as her relatively
comparing experiments 3 and 2 (with and without peripheral higher nSSVEP is accompanied by better peripheral detection
distractor comparison) and experiments 3 and 4 (with and accuracy than most of the other participants. Unfortunately,
without peripheral task comparison). This could be a case of this preliminary study did not have participants who were
a small difference in nSSVEPs between experiments 2 and 4 active/frequent action video game players. It is known that
compared to a larger difference in their UFOV performances; action video gamers perform better in UFOV tasks,30,31 and
this small difference could not reach significance due to small they probably ignore distractors better using a unique neural
sample size. Nevertheless, experiment 4, a case of an strategy revealed by the suppression of SSVEPs from
extremely easy single-trial central task without any peripheral irrelevant flashing stimuli.7 Therefore, it will certainly be of
task, produced nSSVEPs similar to those in experiment 3 in interest to repeat experiments 3 and 4 with action video
identifying good UFOV performers over poorer ones for a gamers.
difficult peripheral task. This suggested that the single-trial On the other hand, the influence of sports training on
nSSVEP has applicable value as a screening tool. Another SSVEPs is less well studied. Also, the findings in the literature
strong contributing factor to the success of experiment 4 is regarding better UFOV in ball sport athletes are rather
how the baseline was designed. Both SSVEPs were stimulated mixed. Matos and Godinho32 and Memmert et al.33 high-
and acquired during baseline phase (no task) and activity lighted that UFOV for these sportsmen is not significantly
phase (task). Taking the signal differences between them to better than in nonsportsmen. Memmert et al. suggested that
associate with effects arising from the corresponding task the commercial version of the UFOV test is designed for
performance is more meaningful than purely having an SSVEP screening elderly persons for risk of driving accidents and
extracted and baselined to a controlled condition without any may not have the sensitivity to find differences between
checkered stimulus. sportsmen and nonsportsmen among healthy young individ-
Another observation in experiment 3 was that most uals. However, Schwab and Memmert34 found that sports
nSSVEPs in this study were negative in value, and those with vision training improves UFOV for hockey players but did
good UFOV had positive nSSVEP values. This may be attributed not report sports performance to suggest any corresponding
to the fact that good UFOV performers in experiment 3 improvement in actual sports activity. A study by Störmer et
maintained their attention better under the stress of a difficult al.27 suggested that individuals who are better at tracking
peripheral task, hence suffered less peripheral field SSVEP multiple flashing moving targets within their visual field
attrition when executing central–periphery dual detection exhibit higher SSVEPs than those elicited by the frequency-
during the activity phase. Given that SSVEP strength is tagged targets. If these individuals are analogous to ball game
relatively stronger for attended stimuli,5,6 this explanation is sportsmen, then there is a good possibility that better UFOV
plausible. in sportsmen could be accompanied by higher levels of
The last observation worth noting concerns the top three SSVEPs.
performers in experiment 3 (mentioned earlier) who included In conclusion, in this preliminary study, we have demon-
two sportsmen and a video gamer. The effect of video gaming strated that changes in peripheral field SSVEP can potentially
has previously been demonstrated, with specific differences be used to identify an individual with good UFOV perfor-
in the SSVEPs of video gamers compared to normal mance in the presence of distractors. Particularly, as
individuals.7,29 Krishnan et al.29 found that RPG players have demonstrated in experiment 4, it is possible that a short 30-

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FIGURE 8. Percentage accuracy in experiments 1 (a), 2 (b), 3 (c) versus normalized SSVEPs in experiment 4.

second objective SSVEP test can differentiate those individu- impedance quality. This setup time can be reduced in the
als with good UFOV from those with poor UFOV. For the future when dry electrodes with conductivity nearly equiv-
purpose of a quick screening test, this could be a reasonable alent to that of wet types are available. Future work should
trade-off of assessment accuracy for shorter testing time. look at larger sample size to avoid the possibility of type 1
While the testing time is short, the setup time for experiment error, as well as various eccentricities of peripheral stimulus
4 requires approximately 3 minutes to place the six to estimate the distribution of attentional performance
electrodes (O1, O2, Oz, M1, M2, GND) and to ensure their toward the periphery. Extensive efforts in testing and

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retesting of the screening task in experiment 4 must be made index of amblyopic deficits. Invest Ophthalmol Vis Sci. 2015;
to ascertain its reliability in predicting UFOV performance. It 56:1208–1216.
will also be worthwhile to recruit sportsmen and video 16. Johansson B, Jakobsson P. Fourier analysis of steady-state visual
gamers to study their differences using current experimental evoked potentials in subjects with normal and defective stereo
paradigms. vision. Doc Ophthalmol. 2000;101:233–246.
17. Zhang P, Jamison K, Engel S, He B, He S. Binocular rivalry
Acknowledgments requires visual attention. Neuron. 2011;71:362–369.
18. Sutoyo D, Srinivasan R. Nonlinear SSVEP responses are
Supported by Future Systems and Technology Directorate (FSTD),
sensitive to the perceptual binding of visual hemifields during
Singapore. Grant number 9012102527.
conventional ‘‘eye’’ rivalry and interocular ‘‘percept’’ rivalry.
Disclosure: S.T. Lin, None; L.K. Tey, None Brain Res. 2009;1251:245–255.
19. Jamison KW, Roy AV, He S, Engel SA, He B. SSVEP signatures of
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