研究目的
To measure the relative retinal oxygen saturation with a prototype, mobile handheld oximeter in upright and supine position and to compare these measurements to the gold standard Oxymap T1 retinal oximeter in upright position.
研究成果
The prototype handheld Corimap camera provides reliable and repeatable retinal oxygen saturation measurements comparable to the gold standard Oxymap T1, with acceptable performance in both upright and supine positions. It expands the applicability of retinal oximetry to pediatric and bedridden patients, though further refinements in ergonomics and software could improve accuracy.
研究不足
The handheld Corimap camera had slightly larger standard deviations in measurements compared to Oxymap T1, possibly due to ergonomic issues, light distribution differences, lack of vessel diameter correction in software, and use of polarized light. It required more image attempts, and repeatability was worse than some previous studies.
1:Experimental Design and Method Selection:
The study compared a prototype handheld retinal oximeter (Corimap camera) with the gold standard Oxymap T1 oximeter. Both use dual-wavelength oximetry based on light absorbance differences of oxyhemoglobin and deoxyhemoglobin at 570 and 600 nm. Images were acquired and analyzed using modified Oxymap Analyzer software.
2:Sample Selection and Data Sources:
Healthy volunteers aged 18-35 years were recruited, with exclusion criteria including ocular opacity, high refraction errors, ocular or systemic diseases, and familial glaucoma history. One eye per subject was randomly selected, and pupils were dilated.
3:List of Experimental Equipment and Materials:
Equipment included the Oxymap T1 oximeter (Oxymap ehf.), Corimap camera (Demcon Focal B.V.), fundus camera (Topcon TRC-50DX), digital cameras (Insight IN1800 for Oxymap, Camelion 3 for Corimap), filters (Chroma Technology Corp.), light sources (xenon flashes, near-infrared), glass fiber cables (Mitsubishi Rayon Co., Ltd.), and software (Oxymap Analyzer, SPSS Statistics).
4:Experimental Procedures and Operational Workflow:
Images were taken with both cameras in random order in upright position, and with Corimap in supine position. Out-of-focus or off-center images were discarded and retaken. Three best images per condition were selected for analysis.
5:Data Analysis Methods:
Optical density ratio (ODR) was calculated, and oxygen saturation was derived using calibration factors. Statistical analysis used paired t-tests, ANOVA for repeatability, and Bland-Altman plots for agreement, with SPSS software.
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Filters
570 nm and 600 nm filters
Chroma Technology Corp.
Used in the Corimap camera to filter the correct wavelengths for oximetry.
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Full Auto Tonometer TX-F
TX-F
Canon
Used to measure intraocular pressure of participants.
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Oxymap T1
T1
Oxymap ehf.
Used as the gold standard retinal oximeter for comparison, acquiring dual-wavelength images to measure retinal oxygen saturation.
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Corimap camera
Prototype
Demcon Focal B.V.
Handheld retinal oximeter prototype used for measurements in upright and supine positions, based on dual-wavelength principle.
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Topcon TRC-50DX
TRC-50DX
Topcon Corp.
Fundus camera used as part of the Oxymap T1 setup for retinal imaging.
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Insight IN1800
IN1800
Diagnostic Instruments Inc.
Digital camera used in the Oxymap T1 for image capture.
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Camelion 3
Camelion 3
Point Grey Research
Digital camera used in the Corimap camera for simultaneous image capture.
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Sony ICX818
ICX818
Sony Corp.
Mono charge-coupled device sensor used in the Corimap camera's digital cameras.
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Glass fiber cables
POF, CK-60
Mitsubishi Rayon Co., Ltd.
Used to connect the lightbox to the camera unit in the Corimap camera for light transmission.
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Oxymap Analyzer software
Modified version
Oxymap ehf.
Software used for analyzing retinal images to determine optical density ratio and oxygen saturation.
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SPSS Statistics
Release 23.0.0.0
IBM Corp.
Software used for statistical analysis, including paired t-tests, ANOVA, and Bland-Altman plots.
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