Literature DB >> 24599791

A fast automated method for calculating the EOG Arden ratio.

Marc G Sarossy1, Matthew H A Lee, Michael Bach.   

Abstract

BACKGROUND: Recording of the dark trough/light peak of the electrooculogram (EOG) remains a useful electrodiagnostic tool. Manual analysis of the recording is tedious and lengthy, and automated analysis needs to deal with artefacts due to suboptimal patient cooperation.
METHODS: We present a novel method of automating the processing and analysis of raw EOG data using the open-source statistical software R. Rather than attempting saccade detection, we utilize the fact that basic properties of the response (rough waveform timing) are known and simply fit a square wave to each response run-free parameters are amplitude and phase. To assess this analysis method, responses from 54 eyes of 27 patients with a variety of ophthalmic diagnoses were analysed with manual calculation and with a number of automated methods of fitting the response curve. The Arden ratio was the main outcome measure.
RESULTS: Robust regression of a fundamental with a three-harmonic approximation of a square wave was found to be the best method. Classification accuracy with this method compared with the manual calculations as gold standard; using a lower normal threshold of 200%, Arden ratio was found to achieve a sensitivity of 96% and specificity of 81%. Time taken to process and analyse the data for a subject was reduced from 20 min for the manual method to 2 min for the automated method.
CONCLUSIONS: The simple approach yielded a surprisingly effective automatic estimation of the Arden ratio. In one author's laboratory (MB), this procedure has proved to be useful over 5 years for routine analysis.

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Mesh:

Year:  2014        PMID: 24599791     DOI: 10.1007/s10633-014-9430-5

Source DB:  PubMed          Journal:  Doc Ophthalmol        ISSN: 0012-4486            Impact factor:   2.379


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Authors:  Marina Mesquida; Bernardo Sanchez-Dalmau; Santiago Ortiz-Perez; Laura Pelegrín; Juan José Molina-Fernandez; Marc Figueras-Roca; Ricardo Casaroli-Marano; Alfredo Adán
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