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Abstract Aims Functional tricuspid regurgitation (TR) is a turning point in cardiac diseases. Symptoms typically appear late. The optimal timing for proposing a valve repair remains a challenge. We sought to analyse the characteristics of right heart remodelling in patients with significant functional TR to identify the parameters that could be used in a simple prognostic model predicting clinical events. Methods and results We designed a prospective observational French multicentre study including 160 patients with significant functional TR (effective regurgitant orifice area > 30 mm2) and left ventricular ejection fraction > 40%. Clinical, echocardiographic, and electrocardiogram data were collected at baseline and at the 1 and 2 year follow‐up. The primary outcome was all‐cause death or hospitalization for heart failure. At 2 years, 56 patients (35%) achieved the primary outcome. The subset with events showed more advanced right heart remodelling at baseline, but similar TR severity. Right atrial volume index (RAVI) and the tricuspid annular plane systolic excursion to systolic pulmonary arterial pressure (TAPSE/sPAP) ratio, reflecting right ventricular–pulmonary arterial coupling, were 73 mL/m2 and 0.40 vs. 64.7 mL/m2 and 0.50 in the event vs. event‐free groups, respectively (both P 0.4 (odds ratio = 0.41, 95% confidence limit 0.2 to 0.82) and RAVI > 60 mL/m2 (odds ratio = 2.13, 95% confidence limit 0.96 to 4.75), providing a clinically valid prognostic evaluation. Conclusions RAVI and TAPSE/sPAP are relevant for predicting the risk for event at 2 year follow‐up in patients with an isolated functional TR.

Our objective is to analyze scanpaths acquired through participants achieving a reading task aiming at answering a binary question: Is the text related or not to some given target topic? We propose a data-driven method based on hidden semi-Markov chains to segment scanpaths into phases deduced from the model states, which are shown to represent different cognitive strategies: normal reading, fast reading, information search, and slow confirmation. These phases were confirmed using different external covariates, among which semantic information extracted from texts. Analyses highlighted some strong preference of specific participants for specific strategies and more globally, large individual variability in eye-movement characteristics, as accounted for by random effects. As a perspective, the possibility of improving reading models by accounting for possible heterogeneity sources during reading is discussed.

This study aims at examining the precise temporal dynamics of the emotional facial decoding as it unfolds in the brain, according to the emotions displayed. To characterize this processing as it occurs in ecological settings, we focused on unconstrained visual explorations of natural emotional faces (i.e., free eye movements). The General Linear Model (GLM; Smith and Kutas, 2015a,b; Kristensen et al., 2017a) enables such a depiction. It allows deconvolving adjacent overlapping responses of the eye fixation-related potentials (EFRPs) elicited by the subsequent fixations and the event-related potentials (ERPs) elicited at the stimuli onset. Nineteen participants were displayed with spontaneous static facial expressions of emotions (Neutral, Disgust, Surprise, and Happiness) from the DynEmo database (Tcherkassof et al., 2013). Behavioral results on participants’ eye movements show that the usual diagnostic features in emotional decoding (eyes for negative facial displays and mouth for positive ones) are consistent with the literature. The impact of emotional category on both the ERPs and the EFRPs elicited by the free exploration of the emotional faces is observed upon the temporal dynamics of the emotional facial expression processing. Regarding the ERP at stimulus onset, there is a significant emotion-dependent modulation of the P2–P3 complex and LPP components’ amplitude at the left frontal site for the ERPs computed by averaging. Yet, the GLM reveals the impact of subsequent fixations on the ERPs time-locked on stimulus onset. Results are also in line with the valence hypothesis. The observed differences between the two estimation methods (Average vs. GLM) suggest the predominance of the right hemisphere at the stimulus onset and the implication of the left hemisphere in the processing of the information encoded by subsequent fixations. Concerning the first EFRP, the Lambda response and the P2 component are modulated by the emotion of surprise compared to the neutral emotion, suggesting an impact of high-level factors, in parieto-occipital sites. Moreover, no difference is observed on the second and subsequent EFRP. Taken together, the results stress the significant gain obtained in analyzing the EFRPs using the GLM method and pave the way toward efficient ecological emotional dynamic stimuli analyses.

The Eye Fixation Related Potential (EFRP) estimation is the average of EEG signals across epochs at ocular fixation onset. Its main limitation is the overlapping issue. Inter Fixation Intervals (IFI) - typically around 300 ms in the case of unrestricted eye movement- depend on participants’ oculomotor patterns, and can be shorter than the latency of the components of the evoked potential. If the duration of an epoch is longer than the IFI value, more than one fixation can occur, and some overlapping between adjacent neural responses ensues. The classical average does not take into account either the presence of several fixations during an epoch or overlapping. The Adjacent Response algorithm (ADJAR), which is popular for event-related potential estimation, was compared to the General Linear Model (GLM) on a real dataset from a conjoint EEG and eye-tracking experiment to address the overlapping issue. The results showed that the ADJAR algorithm was based on assumptions that were too restrictive for EFRP estimation. The General Linear Model appeared to be more robust and efficient. Different configurations of this model were compared to estimate the potential elicited at image onset, as well as EFRP at the beginning of exploration. These configurations took into account the overlap between the event-related potential at stimulus presentation and the following EFRP, and the distinction between the potential elicited by the first fixation onset and subsequent ones. The choice of the General Linear Model configuration was a tradeoff between assumptions about expected behavior and the quality of the EFRP estimation: the number of different potentials estimated by a given model must be controlled to avoid erroneous estimations with large variances.

The distractor effect is a well-established means of studying different aspects of fixation pro-gramming during the exploration of visual scenes. In this study, we present a task-irrelevant distractor to participants during the free exploration of natural scenes. We investigate the con-trol and programming of fixations by analyzing fixation durations and locations, and the link between the two. We also propose a simple mixture model evaluated using the Expectation-Maximization algorithm to test the distractor effect on fixation locations, including fixations which did not land on the distractor. The model allows us to quantify the influence of a visual distractor on fixation location relative to scene saliency for all fixations, at distractor onset and during all subsequent exploration. The distractor effect is not just limited to the current fixa-tion, it continues to influence fixations during subsequent exploration. An abrupt change in the stimulus not only increases the duration of the current fixation, it also influences the location of the fixation which occurs immediately afterwards and to some extent, in function of the length of the change, the duration and location of any subsequent fixations. Overall, results from the eye movement analysis and the statistical model suggest that fixation durations and locations are both controlled by direct and indirect mechanisms.

When people gaze at real scenes, their visual attention is driven both by a set of bottom-up processes coming from the signal properties of the scene and also from top-down effects such as the task, the affective state, prior knowledge, or the semantic context. The context of this study is an assessment of manufactured objects (here car cab interior). From this dedicated context, this work describes a set of methods to analyze the eye-movements during the visual scene evaluation. But these methods can be adapted to more general contexts. We define a statistical model to explain the eye fixations measured experimentally by eye-tracking even when the ratio signal/noise is bad or lacking of raw data. One of the novelties of the approach is to use complementary experimental data obtained with the “Bubbles” paradigm. The proposed model is an additive mixture of several a priori spatial density distributions of factors guiding visual attention. The “Bubbles” paradigm is adapted here to reveal the semantic density distribution which represents here the cumulative effects of the top-down factors. Then, the contribution of each factor is compared depending on the product and on the task, in order to highlight the properties of the visual attention and the cognitive activity in each situation.