新型视野筛查软件诊断偏视的敏感性和特异性。

IF 3.1 Q1 OPHTHALMOLOGY
Eye and Brain Pub Date : 2021-08-29 eCollection Date: 2021-01-01 DOI:10.2147/EB.S315403
Supharat Jariyakosol, Patcharaporn Jaru-Ampornpan, Anita Manassakorn, Rath Itthipanichpong, Parima Hirunwiwatkul, Visanee Tantisevi, Thanapong Somkijrungroj, Prin Rojanapongpun
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引用次数: 1

摘要

目的:评价新开发的软件(CU-VF)和标准自动视距仪(SAP)对偏视的诊断准确性。患者和方法:43名偏视患者和33名对照者使用个人电脑上的CU-VF软件和SAP进行测试。由2名神经眼科医生评估,在SAP上出现偏视视场并伴有相应的神经影像学病理,即为偏视。CU-VF的结果由2名神经眼科医生、1名普通眼科医生和1名全科医生独立评估是否存在偏视。计算观察者间信度的敏感性、特异性和kappa系数。使用视觉模拟量表评估满意度和易用性,并使用配对t检验进行分析。结果:CU-VF检测偏视的灵敏度(95% CI)和特异性(95% CI)分别为74.42%(58.53 ~ 85.96)和93.94%(78.38 ~ 99.94)。神经眼科医生与普通眼科医生和全科医生的Kappa系数分别为0.71和0.84。CU-VF的平均(SD)测试时间为2.25(0.002)分钟,SAP的平均(SD)测试时间为5.38(1.34)分钟(p < 0.001)。结论:与SAP相比,CU-VF筛选软件检测偏视具有较好的效度和信度,测试时间短,受试者满意度高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sensitivity and Specificity of New Visual Field Screening Software for Diagnosing Hemianopia.

Sensitivity and Specificity of New Visual Field Screening Software for Diagnosing Hemianopia.

Sensitivity and Specificity of New Visual Field Screening Software for Diagnosing Hemianopia.

Sensitivity and Specificity of New Visual Field Screening Software for Diagnosing Hemianopia.

Purpose: To assess the diagnostic accuracy of visual field results generated by the newly developed software (CU-VF) and the standard automated perimetry (SAP) for detecting hemianopia.

Patients and methods: Forty-three subjects with hemianopia and 33 controls were tested with the CU-VF software on a personal computer and SAP. Hemianopia was defined as the presence of a hemianopic field respecting the vertical meridian on SAP with the corresponding neuroimaging pathology as evaluated by 2 neuro-ophthalmologists. Results of CU-VF were independently evaluated by 2 neuro-ophthalmologists, 1 general ophthalmologist, and 1 general practitioner in terms of the presence of hemianopia. Sensitivity, specificity, and kappa coefficient for inter-observer reliability were calculated. Satisfaction and ease of use were evaluated with a visual analog-scale questionnaire and analyzed using paired t-test.

Results: The sensitivity (95% CI) and specificity (95% CI) of the CU-VF to detect hemianopia was 74.42% (58.53-85.96) and 93.94% (78.38-99.94). Kappa coefficient between neuro-ophthalmologists versus general ophthalmologist and general practitioner were 0.71 and 0.84, respectively. The mean (SD) test duration was 2.25 (0.002) minutes for the CU-VF and 5.38 (1.34) minutes for SAP (p < 0.001). Subjects reported significantly higher satisfaction and comfort using the CU-VF software compared to SAP.

Conclusion: The CU-VF screening software showed good validity and reliability to detect hemianopia, with shorter test duration and higher subject satisfaction compared to SAP.

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来源期刊
Eye and Brain
Eye and Brain OPHTHALMOLOGY-
CiteScore
7.90
自引率
2.30%
发文量
12
审稿时长
16 weeks
期刊介绍: Eye and Brain is an international, peer-reviewed, open access journal focusing on basic research, clinical findings, and expert reviews in the field of visual science and neuro-ophthalmology. The journal’s unique focus is the link between two well-known visual centres, the eye and the brain, with an emphasis on the importance of such connections. All aspects of clinical and especially basic research on the visual system are addressed within the journal as well as significant future directions in vision research and therapeutic measures. This unique journal focuses on neurological aspects of vision – both physiological and pathological. The scope of the journal spans from the cornea to the associational visual cortex and all the visual centers in between. Topics range from basic biological mechanisms to therapeutic treatment, from simple organisms to humans, and utilizing techniques from molecular biology to behavior. The journal especially welcomes primary research articles or review papers that make the connection between the eye and the brain. Specific areas covered in the journal include: Physiology and pathophysiology of visual centers, Eye movement disorders and strabismus, Cellular, biochemical, and molecular features of the visual system, Structural and functional organization of the eye and of the visual cortex, Metabolic demands of the visual system, Diseases and disorders with neuro-ophthalmic manifestations, Clinical and experimental neuro-ophthalmology and visual system pathologies, Epidemiological studies.
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