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논문KCI 등재

모니터 종류에 따른 시각유발전위 검사의 차이점

Difference of Visual Evoked Potential Study with Different Types of Monitors

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Objective: We wanted to test that LCD monitor can be used for pattern reversal VEPs with short response time instead of standard CRT monitor. Method: In 8 normal subjects with 16 eyes, VEPs were done with CRT and response time 1 ms LCD, 5 ms LCD monitors. Latencies of P100 waves and amplitudes of N75-P100 were compared for 3 different monitor groups. Results: Mean latencies of P100 waves were 111.8 ± 6.0 ms for CRT group, 115.8 ± 5.9 ms for 1 ms LCD group and 118.5 ± 6.2 ms for 5 ms LCD group and there was significant difference between latencies of CRT and 5 ms groups (p < 0.01, post-hoc analysis). Furthermore, latency difference value from CRT group minus LCD group on each subject also showed significant difference between CRT-1 ms LCD and CRT-5 ms LCD (p < 0.01). Mean amplitudes of N75-P100 didn’t show difference between 3 monitor groups. Conclusion: Latency of P100 wave with LCD monitor with 5 ms response time is longer than that with CRT monitor and LCD monitor with 1 ms response time also showed tendency of delay. These results suggest that the ready-made reference value should not be applied to the reference range with LCD monitor even though short response time.

Abstract

Objective: We wanted to test that LCD monitor can be used for pattern reversal VEPs with short response time instead of standard CRT monitor. Method: In 8 normal subjects with 16 eyes, VEPs were done with CRT and response time 1 ms LCD, 5 ms LCD monitors. Latencies of P100 waves and amplitudes of N75-P100 were compared for 3 different monitor groups. Results: Mean latencies of P100 waves were 111.8 ± 6.0 ms for CRT group, 115.8 ± 5.9 ms for 1 ms LCD group and 118.5 ± 6.2 ms for 5 ms LCD group and there was significant difference between latencies of CRT and 5 ms groups (p < 0.01, post-hoc analysis). Furthermore, latency difference value from CRT group minus LCD group on each subject also showed significant difference between CRT-1 ms LCD and CRT-5 ms LCD (p < 0.01). Mean amplitudes of N75-P100 didn’t show difference between 3 monitor groups. Conclusion: Latency of P100 wave with LCD monitor with 5 ms response time is longer than that with CRT monitor and LCD monitor with 1 ms response time also showed tendency of delay. These results suggest that the ready-made reference value should not be applied to the reference range with LCD monitor even though short response time.

참고문헌 (6)

  1. Chiappa KH, "Evoked potentials in clinical medicine (first of two parts)", N Engl J Med, 306, pp.1140~1150 (1982)
  2. American Clinical Neurophysiology S, "Guideline 9B: Guidelines on visual evoked potentials", J Clin Neurophysiol, 23, pp.138~156 (2006)
  3. Husain AM, "Visual evoked potentials with CRT and LCD monitors: when newer is not better", Neurology, 72, pp.162~164 (2009)
  4. Matsumoto CS, "Liquid crystal display screens as stimulators for visually evoked potentials: flash effect due to delay in luminance changes", Doc Ophthalmol, 127, pp.103~112 (2013)
  5. Matsumoto CS, "Comparisons of pattern visually evoked potentials elicited by different response time liquid crystal display screens", Ophthalmic Res, 51, pp.117~123 (2014)
  6. Nagy BV, "Comparison of pattern VEP results acquired using CRT and TFT stimulators in the clinical practice", Doc Ophthalmol, 122, pp.157~162 (2011)

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