动态背景对闪光ERGs的调制。

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Documenta Ophthalmologica Pub Date : 2023-02-01 DOI:10.1007/s10633-022-09902-x
Jan Kremers, Avinash J Aher, Cord Huchzermeyer
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引用次数: 0

摘要

目的:本研究的目的是表征导致ERG反应的信号处理机制,并利用这一特征在标准记录显示微弱反应的患者中获得更强大的反应。我们研究了正弦调制背景对闪光灯电刺激的影响,以及闪光灯电刺激分量的振幅与瞬间韦伯分数的关系。方法:对9名健康受试者和3名RP患者进行ERG记录。在四名正常受试者中,我们测量了在稳定背景(50 cd/m2)和正弦波(50 cd/m2平均亮度)调制背景下在1,5,10和25 Hz时间频率下对闪光(500 cd/m2,持续时间1 ms)的响应。在调制背景正弦波期间,闪光以8个不同相位(0-315°,步长为45°)发送。记录对背景的响应,并从对闪光灯加调制背景的响应中减去,得到闪光灯在不同阶段的ergg。其余5名正常受试者和RP患者的记录是在这些刺激的一个子集下进行的。结果:背景对闪光电图有较强的调制作用,特别是在低频时,当瞬间韦伯分数较大时,背景对闪光电图的调制作用增强。分量的振幅可以用韦伯分数加上饱和非线性和背景亮度处理中的延迟来描述。调制强度随峰值时间的增加而减小。背景亮度延迟与峰值时间呈正相关。这种效果也存在于RP患者中。结论:1 Hz左右的正弦波背景可以增强ERG反应。闪光的韦伯分数是描述电脉冲振幅的一个足够的刺激量化。这些数据提供了背景亮度在ERG产生机制中是如何被处理的基本信息。反应增强可用于临床应用,以获得正常和患者数据之间更可靠的比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Modulation of flash ERGs by dynamic backgrounds.

Purpose: The aim of this study was to characterize the signal processing mechanisms that lead to an ERG response and to use this characterization for obtaining more robust responses in patients who display feeble responses with standard recordings. We studied the influence of sinusoidally modulating backgrounds on flash ERGs and the relationship between the ERG components' amplitudes and the momentary Weber fraction of the flash stimulus.

Methods: ERG recordings were performed in nine healthy subjects and three RP patients. In four normal subjects, we measured the response to flashes (500 cd/m2, 1 ms duration) on a steady background (50 cd/m2) and on a sine wave (50 cd/m2 mean luminance) modulating background at 1, 5, 10, and 25 Hz temporal frequencies. The flashes were delivered at eight different phases (0-315° in a step of 45°) during the modulating background sine wave. The responses to the backgrounds were also recorded and subtracted from the responses to flash plus modulating backgrounds to obtain the flash ERGs at the different phases. The recordings in the remaining five normal subjects and the RP patients were performed with a subset of these stimuli.

Results: The flash ERGs were strongly modulated by the backgrounds particularly at low frequencies and were enhanced when the momentary Weber fraction was large. The amplitudes of the components could be described by the Weber fraction plus a saturating nonlinearity and a delay in the processing of background luminance. The strength of the modulation decreased with increasing peak time of the component. Furthermore the background luminance delay was positively correlated with the peak time. The effect was also present in RP patients.

Conclusions: A sine wave background of about 1 Hz can be used to enhance ERG responses. Weber fraction of the flashes is an adequate quantification of stimulus for describing the amplitudes of the ERGs. The data provide basic information on how background luminance is processed in ERG generating mechanisms. The response enhancement can be used in clinical applications to obtain a more robust comparison between normal and patient data.

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来源期刊
Documenta Ophthalmologica
Documenta Ophthalmologica 医学-眼科学
CiteScore
3.50
自引率
21.40%
发文量
46
审稿时长
>12 weeks
期刊介绍: Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).
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