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Analysis Of Effect Of Stimulation On Trasient VEP Using Spectral Components

机译:利用频谱分量分析刺激对瞬态VEP的影响

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Transient Visual Evoked Potential (TVEP) has been used as one of the valuable diagnostic tool in the clinical environment. Various types of analysis have been performed on TVEP recordings for identifying diagnostically significant information. Conventional methods of detection of visual anomalies, based on TVEPs require long periods of testing and averaging. Hence, the problem of patient fatigue affects the accuracy of the results. A spectral component based method is proposed to identify the effect of rate of stimulation on the spectral components and change in P100 latency value for normal subject TVEP. The spectral components are identified using Welch's averaged periodogram and latencies are identified using the averaging method. Using the method proposed here one could identify the latency with lesser period of testing irrespective of the rate of stimulation. Introduction TVEP is an important diagnostic test for specific ophthalmological and neurological disorders (Misra et al 1999, AbdelMageed 2002, Lauritzen et al 2004, Momose et al 2004, Suttle and Turner 2004). The clinical use of TVEP is mainly based on the peak amplitude and latency of P100 (Nogawa et al 1991, Xu et al 1992). In general, the stimulation rate used for the recording is 1Hz. But it requires minimum of 50-60 trials for calculating P100 value. Usually, it takes minimum of 30 minutes for completing the entire procedure and the fatigue condition affects the procedure. Higher rate of stimulation is preferred to reduce the procedure time and also to reduce fatigue levels in patients. But at higher rate of stimulation, identification of P100 peaks becomes very difficult and there is also an increase in the latency compared to that of the latency obtained using the 1Hz stimulation rate. All the previous studies confirmed that the as the rate of stimulation increases there will be a change in the latency (Misra et al 1999, Heravian et al 1999) and none of the studies have shown the correlation between the rate of stimulation and the change in TVEP P100 latency.In this paper, a spectral component based method has been proposed to identify the effect of rate of stimulation on the spectral components and change in P100 latency value for normal subjects TVEP. Materials And Method SubjectsExperiments were carried with subjects in the Neurology Department of a leading Medical Institute from 2003 to 2004. Experiments were carried out with 300 normal subjects (19 – 62 years old, 125 females and 175 males). Patients have been chosen in such a way that all subjects have the latency value exactly 100 msec.TVEP RecordingTVEP was performed in a specially equipped electro diagnostic procedure room (darkened, sound attenuated room). Initially, the patient was made to sit comfortably approximately one meter away from the pattern-shift screen. Subjects were placed in front of a black and white checkerboard pattern displayed on a video monitor. The checks alternate black/white to white/black at a rate of approximately twice per second. Every time the pattern alternates, the patient's visual system generates an electrical response that was detected and was recorded by surface electrodes, which were placed on the scalp overlaying the occipital and parietal regions with reference electrodes in the ear. The patient was asked to focus his gaze onto the center of the screen. Each eye was tested separately (monocular testing). Only the rate of stimulation is changed. Other parameters remained constant (brightness, contrast, stimulation pattern size etc.,). The response of each stimulation rate was done for 30 cycles and stored and similarly responses repeated for remaining rate of stimulation also (2Hz, 3Hz, 4Hz, 5Hz and 6Hz stimulation).Data AnalysisFor each patient P100 latency value were identified manually by moving the cursor over the averaged waveform. The analogue signal is digitized at a sampling rate of 1024 samples/sec. Using Welch's averaged periodogram method the spectral c
机译:瞬态视觉诱发电位(TVEP)已被用作临床环境中有价值的诊断工具之一。已经对TVEP记录执行了各种类型的分析,以识别具有诊断意义的信息。基于TVEP的常规视觉异常检测方法需要长时间的测试和平均。因此,患者疲劳的问题影响了结果的准确性。提出了一种基于频谱成分的方法来识别刺激速率对频谱成分的影响以及正常受试者TVEP的P100潜伏期值的变化。使用韦尔奇平均周期图确定频谱分量,并使用平均方法确定延迟。使用这里提出的方法,无论刺激的速率如何,都可以用较短的测试时间来识别潜伏期。简介TVEP是针对特定眼科和神经系统疾病的重要诊断测试(Misra等,1999; AbdelMageed,2002; Lauritzen等,2004; Momose等,2004; Suttle和Turner,2004)。 TVEP的临床使用主要基于P100的峰值幅度和潜伏期(Nogawa等,1991; Xu等,1992)。通常,用于记录的刺激速率是1Hz。但是,至少需要进行50-60次试验才能计算出P100值。通常,至少需要30分钟才能完成整个过程,疲劳状况会影响该过程。优选较高的刺激率以减少手术时间并减少患者的疲劳程度。但是,在较高的刺激速率下,鉴定P100峰变得非常困难,并且与使用1Hz刺激速率获得的潜伏期相比,潜伏期也有所增加。以前的所有研究都证实,随着刺激率的增加,潜伏期也将发生变化(Misra等,1999; Heravian等,1999),但没有研究表明刺激率和刺激的变化之间存在相关性。 TVEP P100潜伏期。本文提出了一种基于频谱成分的方法,以识别刺激速率对正常受试者TVEP的频谱成分和P100潜伏期值的影响。材料和方法受试者2003年至2004年在领先医学研究所的神经病学系进行了实验。实验对象为300名正常受试者(19-62岁,女性125位,男性175位)。选择患者的方式应使所有受试者的潜伏期值都精确地为100毫秒。TVEP记录TVEP是在专门配备的电子诊断程序室(暗色,声音衰减室)中进行的。最初,使患者舒适地坐在离模式转换屏幕约一米的位置。将对象放置在视频监视器上显示的黑白棋盘格图案前面。支票以大约每秒两次的速度将黑/白改为白/黑。每次图案交替变化时,患者的视觉系统都会产生电响应,该电响应会被表面电极检测到并记录下来,表面电极放置在头皮上,枕骨和顶叶区域与耳朵中的参比电极重叠。要求患者将视线聚焦在屏幕中央。每只眼睛分别进行测试(单眼测试)。仅刺激率改变。其他参数保持不变(亮度,对比度,刺激图案大小等)。每种刺激率的反应进行30个周期并存储,对于剩余刺激率(2Hz,3Hz,4Hz,5Hz和6Hz刺激)也重复同样的反应。数据分析通过移动光标手动识别每个患者的P100潜伏值超过平均波形。模拟信号以1024个样本/秒的采样率数字化。使用韦尔奇平均周期图方法,光谱c

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