Evaluation on Effectiveness of a New System as well as Analysis on Optimal Horizontal Eye Position for Vertical Video Head Impulse Test

Evaluation on Effectiveness of a New System as well as Analysis on Optimal Horizontal Eye Position for Vertical Video Head Impulse Test
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新系统的有效性评估以及垂直视频头脉冲测试的最佳水平眼位分析

DOI:
10.1007/s11596-021-2415-1
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发表时间:
2021-08
影响因子:
2.4
通讯作者:
Li Wen-yan
Li Wen-yan
中科院分区:
医学3区
文献类型:
--
作者:
Jiang Tao;Li Fei;Yu Jing;Huang Ruo-nan;Gao Rui;Shang Chen-yong;Zhuang Jian-hua;Li Wen-yan

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目的比较3种不同系统的视频头部冲击试验(vHIT)的性能,确定准确评价垂直半规管功能的最佳靶点角度。参与者坐在离墙1.2米远的一个专门用于vHIT实验的隔音房间里。在对比实验中,两家医院的设置相似,到墙壁的距离和凝视角度相同。对于每种设备,程序都遵循了开发人员的建议。同一个检查员在同一个地点对两个系统进行了比较。对于眼睛位置项目,目标被顺序地放置在墙上的预先标记的线上的不同角度。对于比较项目,分别招募了9名和13名参与者。排除任何患有耳科或前庭疾病的受试者。共有26名健康的参与者被招募的眼位实验,其中16人进一步参与了inter-examiner tests.ResultsOur三个不同的系统的评估表明,一个新的vHIT系统,VertiGoggles® ZT-VNG-I(VG)进行长期测试的Otometrics® ICS脉冲(Oto)和EyeSeeCam®(ESC)一样好。在比较中,我们验证了在垂直半规管平面施加扭转时,25 °而不是正前方0 °是一个更好的设定目标的位置。结论新型VG系统具有良好的临床应用价值。此外,我们提出了一个新的协议,以设置目标25度,从右前方倾斜45度后,在vHIT过程中评估垂直运河。
ObjectiveTo compare the performances among three different systems for video head impulse test (vHIT), and to identify an optimal target angle for precisely evaluating the function of vertical semicircular canals in vHIT.MethodsA two-center prospective study was done. Participants were sit 1.2 m away from the wall in a noise-proved room that dedicated for vHIT experiments. During the comparison experiments, similar settings were ensured in both hospitals, with the same distance to wall and angle of staring. For each equipment, the procedures followed the developers’ recommendations. The same examiner performed the comparison between two systems in one location. For the eye-position projects, targets were placed on the wall sequentially at the pre-marked lines for different angles. For the comparison projects, 9 and 13 participants were recruited, respectively. Any participant with otologic or vestibular disorders was excluded. A total of 26 healthy participants were recruited in the eye-position experiments, 16 of which were further involved in inter-examiner tests.ResultsOur evaluations of three different systems showed that a new vHIT system, VertiGoggles® ZT-VNG-I (VG) performed as good as the long-tested Otometrics® ICS impulse (Oto) and EyeSeeCam® (ESC). During the comparison, we validated 25-degree, instead of right ahead at 0 degree, is a better place to set the targets when torsion was applied at vertical semicircular canal planes.ConclusionThe new VG system is good for clinical practices. Furthermore, we proposed a new protocol to set the targets 25 degrees from right ahead after tilting head 45 degrees to evaluate vertical canals during vHIT.
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发表时间: 2015
影响因子: 3.4
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