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首页> 外文期刊>Documenta Ophthalmologica >Repeatability of short-duration transient visual evoked potentials in normal subjects
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Repeatability of short-duration transient visual evoked potentials in normal subjects

机译:正常受试者短时短暂视觉诱发电位的可重复性

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摘要

To evaluate the within-session and inter-session repeatability of a new, short-duration transient visual evoked potential (SD-tVEP) device on normal individuals, we tested 30 normal subjects (20/20 visual acuity, normal 24-2 SITA Standard VF) with SD-tVEP. Ten of these subjects had their tests repeated within 1–2 months from the initial visit. Synchronized single-channel EEG was recorded using a modified Diopsys Enfant™ System (Diopsys, Inc., Pine Brook, New Jersey, USA). A checkerboard stimulus was modulated at two reversals per second. Two different contrasts of checkerboard reversal patterns were used: 85% Michelson contrast with a mean luminance of 66.25 cd/m2 and 10% Michelson contrast with a mean luminance of 112 cd/m2. Each test lasted 20 s. Both eyes, independently and together, were tested 10 times (5 times at each contrast level). The following information was identified from the filtered N75-P100-N135 complex: N75 amplitude, N75 latency, P100 amplitude, P100 latency, and Delta Amplitude (N75-P100). The median values for each eye’s five SD-tVEP parameters were calculated and grouped into two data sets based on contrast level. Mean age was 27.3 ± 5.2 years. For OD only, the median (95% confidence intervals) of Delta Amplitude (N75-P100) amplitudes at 10% and 85% contrast were 4.6 uV (4.1–5.9) and 7.1 uV (5.15–9.31). The median P100 latencies were 115.2 ms (112.0–117.7) and 104.0 ms (99.9–106.0). There was little within-session variability for any of these parameters. Intraclass correlation coefficients ranged between 0.64 and 0.98, and within subject coefficients of variation were 3–5% (P100 latency) and 15–30% (Delta Amplitude (N75-P100) amplitude). Bland–Altman plots showed good agreement between the first and fifth test sessions (85% contrast Delta Amplitude (N75-P100) delta amplitude, mean difference, 0.48 mV, 95% CI, −0.18–1.12; 85% contrast P100 latency delay, −0.82 ms, 95% CI, −3.12–1.46; 10% contrast Delta Amplitude (N75-P100) amplitude, 0.58 mV, 95% CI, −0.27–1.45; 10% contrast P100 latency delay, −2.05 mV, 95% CI, −5.12–1.01). The inter-eye correlation and agreement were significant for both SD-tVEP amplitude and P100 latency measurements. For the subset of eyes in which the inter-session repeatability was tested, the intraclass correlation coefficients ranged between 0.71 and 0.86 with good agreement shown on Bland–Altman plots. Short-duration transient VEP technology showed good within-session, inter-session repeatability, and good inter-eye correlation and agreement.
机译:为了评估正常个体上新的短时间短暂性视觉诱发电位(SD-tVEP)设备的会话内和会话间可重复性,我们测试了30名正常受试者(20/20视敏度,正常的24-2 SITA标准VF)和SD-tVEP。在初次就诊后的1–2个月内,对其中的10名受试者进行了重复测试。使用改进的Diopsys Enfant™系统(Diopsys,Inc.,美国新泽西州派恩布鲁克),记录了同步单通道EEG。棋盘刺激被调制为每秒两次反转。棋盘反转模式使用两种不同的对比度:85%的迈克尔逊对比度,平均亮度为66.25 cd / m 2 和10%的迈克尔逊对比度,平均亮度为112 cd / m 2 < / sup>。每次测试持续20 s。两只眼睛分别或一起接受10次测试(每个对比水平5次)。从过滤的N75-P100-N135复合物中识别出以下信息:N75振幅,N75潜伏期,P100振幅,P100潜伏期和Delta振幅(N75-P100)。计算出每只眼睛的五个SD-tVEP参数的中值,并根据对比度水平将其分为两个数据集。平均年龄为27.3±5.2岁。仅对于OD,在10%和85%对比度下的Delta振幅(N75-P100)振幅的中值(95%置信区间)为4.6 uV(4.1-5.9)和7.1 uV(5.15-9.31)。 P100延迟的中位数是115.2 ms(112.0–117.7)和104.0 ms(99.9–106.0)。这些参数中的任何一个在会话内的变化都很小。类内相关系数介于0.64和0.98之间,主题变异系数在3%至5%(P100潜伏期)和15%至30%(Δ振幅(N75-P100)振幅)之内。 Bland–Altman图显示了第一和第五次测试之间的良好一致性(85%对比度Delta Amplitude(N75-P100)Delta幅度,均值差,0.48 mV,95%CI,-0.18-1.12; 85%的对比P100延迟, −0.82 ms,95%CI,-3.12-1.46; 10%对比度Delta Amplitude(N75-P100)幅值,0.58 mV,95%CI,-0.27–1.45; 10%对比度P100延迟,-2.05 mV,95% CI,−5.12-1.01)。眼内相关性和一致性对于SD-tVEP振幅和P100潜伏期测量均很重要。对于测试了会话间可重复性的眼睛子集,类内相关系数的范围在0.71至0.86之间,并且在Bland-Altman图上显示出很好的一致性。短期瞬态VEP技术显示出良好的会话内,会话间可重复性以及良好的眼内关联性和一致性。

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