Diagnostic Testing Flashcards

1
Q

What are the 3 main machines for Laser Scanning Imaging?

A

Scanning Laser Polarimetry (SLP), Confocal Laser Scanning (CLST) and Optical Coherence Tomography (OCT)

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2
Q

SLP works by what type of phenomenon? This phenomenon results in what?

A

Bifrefringence Phenomomen, results in a phase change between beams

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3
Q

A GDX pro is the most recent type of ___? This machine ____ corneal compensation.

A

Type of SLP

Enhances corneal compensation.

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4
Q

An SLP uses polarized light to measure the thickness of the ____ ___ as part of a glaucoma workup.

A

retinal NFL

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5
Q

What is the wavelength of the fixation laser and imaging laser in a Zeiss-Meditec GDX?

A

Fixation Laser: 635nm (visible red)

Imaging Laser: 785 nm

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6
Q

How many normal subjects were found in the GDX RNFL normative database? What ages?

A

251 Normal Subjects (mostly caucasian and asian)

Ages: 18-82

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7
Q

The GDX Nerve Fiber Index (NFI) tells the doctor what?

A

How likely it is for the pt to get glaucoma.

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8
Q

95% of the normal population shows GDX VCC NFI values under __?

A

30

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9
Q

On the GDX-Pro, the guided professional analysis (GPA) have 4 colors. What are they and what do they mean?

A
Gray = no progression
Yellow = Possible progression
Red = Likely Progression
Purple = Possible Increase
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10
Q

The GDX NFI database uses how many subject? What type of subjects?

A

432 subjects
243 normal
189 glaucoma

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11
Q

What NFI value indicates no glaucoma?

A

no glaucoma is <30

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12
Q

What NFI value indicates borderline glaucoma?

A

borderline glaucoma is 30-50

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13
Q

What NFI value is consistent with glaucoma?

A

glaucoma is >50

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14
Q

Quality (q) greater than or equal to ______ is a reliable scan

A

7

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15
Q

What is an example of confocal laser scanning tomography (CLST)?

A

Heidelberg retinal tomography - HRT

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16
Q

CLST relies on what optical principle to produce images?

A

Reflectance

the ILM and NFL microtubules possess reflective properties

17
Q

What are two types of images taken by an HRT?

A

reflectance image

topographic image

18
Q

What are the two lasers involved with confocal laser scanning tomography and what wavelength of light do they emit?

A

imaging laser = 670 nm (visible red)

fixation laser = 540 nm (visible green)

19
Q

What are 4 light sources used in Spectralis?

A

488 nm : blue autofluorescence

760 nm : ICG angiography

785 nm : infrared imaging

879 nm : OCT imaging

20
Q

What is a normal endothelial cell count?

A

3000 cells per mm^2