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At least 307 records · Page 17Linked to original sources
PubMed1978

Display of epicardial ischemia by reduced nicotamide adenine dinucleotide fluorescence photography, electron microscopy, and ST segment mapping.

Reduced nicotinamide adenine dinucleotide (NADH) fluorescence photography, a technique of assessing myocardial ischemia, was correlated with ischemia as identified by ST segment mapping and electron microscopy (EM) in 25 Langdneorff perfused rabbit hearts following coronary occlusion. Nicotinamide adenine dinucleotide (NAD), a component of the intramitochondrial electron transport chain, becomes reduced during periods of ischemia (NADH). NADH fluoresces when excited by ultraviolet light. NAD does not. All three techniques were compared to assess their resolution of the "border zone" between ischemia and nonischemic myocardium. The border zone defined by NADH fluorescence is 0.1 mm or less. Areas of high NADH fluorescence invariably revealed ST segment elevation, whereas minimally fluorescent areas did not. St segment mapping yields a border zone of approximately 7 mm. Areas of high NADH fluorescence following 1 hour of ischemia displayed severe damage on EM as compared to matched controls. A zone of intermediate ultrastructural damage is identified in a 1 mm biopsy taken between fluorescent and nonfluorescent myocardium. This evidence confirms epicardial NADH fluorescence photography as an assay of myocardial ischemia. This high resolution technique delineates a border zone of narrow dimensions as compared with ST segment mapping.

Animals↗
PubMed1989

[Diagnosis of glaucoma using retinal nerve fiber photography].

Clinical valuable retinal nerve fiber layer (RNFL) pictures are possible with every fundus camera when using the excitation or green filter. The conclusions follow by projection of the black-and-white print film. The more expensive production of paper prints is not always necessary for the judgement of the RNFL. RNFL-photography may facilitate the diagnosis and follow-up of optic nerve damages, especially the evaluation of eyes with an enlarged cup of the disk or of eyes with elevated intraocular pressure (IOP) without visual field defects. The damage of RNFL can be diffuse or localized. Diffuse damaging is difficult to detect. Localized RNFL-defects may be either slit- or grove-like and will be found in the upper and lower temporal arcuate. Slit like defects may be seen in normal eyes, too. RNFL-photography allows additional information in glaucoma suspect eyes.

Adult↗
PubMed1984

School screening for scoliosis. One experience in California using clinical examination and moiré photography.

In 1980 the legislature of the state of California mandated that school screening programs for scoliosis be implemented. This law resulted in variations in methods and efficacy of the programs. One such program using clinical examination and moiré photography was administered to adolescent girls in two secondary schools in Santa Clara County. The findings of 10% of the clinical examinations were ruled to be "positive," 18% on moiré photography alone and 8% on both examinations. The correlation between the two diagnostic procedures was poor (r = .16). Follow-up was done to determine the outcome of the "positive" cases. In all, 25% of the children classified as having scoliosis had no medical follow-up one year from the request by the screening program team. The documented false-positive rate was 15% based on the screening examination. Definitive radiographic evaluation was reported in very few of the positive cases. Our experience shows the weakness of local programs that have no subject follow-up. It is suggested that public education may be a more effective solution than mass school screening mandates.

Adolescent↗
PubMedDate not supplied

[Photography schedule in x-ray diagnostic facilities using image intensifiers].

To provide optimal informativeness of fluorograms obtained with the help of radiodiagnostic complexes which are provided with luminance amplifiers of roentgen image (ARI), the magnitudes of X-ray radiation power dose, exposure dose on a photo film, roentgen radiation power dose in X-ray inspection regime worked out by the complex to the moment of a signal hit on photography, and tolerable ratio of their external magnitudes had to be chosen in accordance with ARI parameters: magnitude of conversion ratio, photography frequency, operation speed of exposure metering system and communication system of main power supply circuit.

Fluoroscopy↗
PubMed2006

Standards for digital photography in cranio-maxillo-facial surgery - Part I: Basic views and guidelines.

Clinical photography is an essential facility to support the work of cranio-maxillo-facial surgical departments. This paper highlights the requirements to ensure the highest quality and consistency of photographs taken and provides a standardized set of both facial and intra-oral views that fit the needs of accurate digital photo-documentation in cranio-maxillo-facial surgery. Furthermore it gives assistance in the selection of equipment, archival storage and error avoidance. These guidelines have been approved in November 2005 by the Council of the European Association for Cranio-Maxillo-Facial Surgery and are to be understood as a proposal to all our colleagues in Maxillofacial Surgery.

Europe↗
PubMed2006

Standards for digital photography in cranio-maxillo-facial surgery--part II: additional picture sets and avoiding common mistakes.

As stated in the first part of this publication standardized clinical photographs are essential for planning, documentation and demonstration of surgical procedures in cranio-maxillo-facial surgery (Ettorre et al., 2006). This article expands the previously defined standards in facial digital photography. Additional picture sets for special topics are introduced and some common mistakes are discussed. Guidance for the prevention of pitfalls is provided and the photographic principles are reviewed. Finally the authors give recommendations for dealing with structured data storage and protection of medical photographs. The use of asset management systems such as Cumulus and Portfolio is introduced and recommended.

Adult↗
PubMed2006

Standards for digital photography in cranio-maxillo-facial surgery--Part II: Additional picture sets and avoiding common mistakes.

As stated in the first part of this publication standardized clinical photographs are essential for planning, documentation and demonstration of surgical procedures in craniomaxillofacial surgery (Ettorre et al., 2006). This article expands the previously defined standards in facial digital photography. Additional picture sets for special topics are introduced and some common mistakes are discussed. Guidance for the prevention of pitfalls is provided and the photographic principles are reviewed. Finally the authors give recommendations for dealing with structured data storage and protection of medical photographs. The use of asset management systems such as Cumulus and Portfolio is introduced and recommended.

Adult↗
PubMed1998

Vertical location of the corneal light reflex in strabismus photography.

OBJECTIVE: To improve the clinical documentation of strabismus by mathematically predicting and clinically verifying the location of a fixation target that produces a vertically centered corneal light reflex (first Purkinje image) in clinical photographs of the eye using a standard photographic flash unit. MATERIALS AND METHODS: Mathematical modeling of the corneal light reflex during clinical photography was based on the schematic eye. Clinical photographs were taken using a range of fixation targets located between the center of the camera lens and the center of the flash. Image quality was also assessed subjectively. RESULTS: Optimum vertical centration of the corneal light reflex was predicted and produced when the fixation target was located one fifth of the distance from the center of the flash to the center of the camera lens. Placement of the flash below, rather than above, the camera lens provided more uniform illumination of the patient's eyes and face. Decreasing the distance between the camera lens and the flash minimized the severity of these artifacts. CONCLUSIONS: A poorly positioned corneal light reflex makes it difficult to identify the fixing eye in photographs of patients with strabismus, especially when vertical strabismus is present. Adoption of the aforementioned protocol will reproduce the appearance of coaxially viewed corneal light reflexes and provide much-needed standardization for strabismus case presentation.

Blinking↗
PubMed1976

Fundus photography without a fundus camera.

A camera for fundus photography can be assembled from a standard indirect ophthalmoscope, a single-lens reflex camera, and a modest amount of easily available additional equipment. This camera can be used to record moderate detail of the posterior portion of the fundus and optic nerve head and can be used in an office, a hospital room, or an operating room.

Fundus Oculi↗
PubMed1977

Choroidography and photography of the long ciliary nerve and artery.

A noninvasive technique that allows photography of the choroidal vasculature and the long ciliary nerve and artery is described. It does not make use of any injectable contrast material. A simple single lens reflex camera with its close-up lens, mounted on a stand, was used to take illustrative choroidograms.

Angiography↗
PubMed1984

Cross-polarization photography of the nerve fiber layer.

Cross-polarized photography was used to enhance the visibility of the arcuate bundles of the retinal nerve fiber layer ( NFL ). A fundus camera (Zeiss) was modified to accept a linear polarizing filter in front of the flash and another polarizing filter in front of the film plane. The azimuths of the two filters were kept at right angles to one another. Cross-polarized photographs were taken of the NFL of seven normal eyes and 18 eyes with ocular hypertension. The polarizers were rotated together to obtain four different orientations, equally spaced through 90 degrees. The manner in which visibility of the arcuate fibers was enhanced varied consistently with the orientation of the polarizing filters. Cross-polarization accentuated apparent defects in the NFL when compared with standard red-free illumination.

Adult↗
PubMed1987

High-speed photography of excimer laser ablation of the cornea.

We have used laser-based high-speed photography to investigate excimer laser ablation of the cornea. Photographs of the ablation plume were obtained 500 ns to 150 microseconds after incidence of a 193- or 248-nm excimer laser pulse on the surface of the cornea. Ejection of material from the cornea begins on a time scale of nanoseconds and continues for 5 to 15 microseconds following the excimer pulse. At 193 nm the ablation plume resembles a burst of smoke, and individual particles are too small to be optically resolved with our apparatus. At 248 nm the plume resembles a spray of larger, discrete droplets. Material is ejected from the cornea at supersonic velocity but decelerates rapidly; the velocity for the first 500 ns following the excimer pulse averages 400 m/s at 193 nm. Plume size and velocity increase with increasing fluence.

Animals↗
PubMed1989

Use of cross-polarized light in anterior segment photography.

A photographic technique improved the quality of anterior segment photography by using one polarizer in the illumination path and another polarizer that was perpendicularly oriented to the first in front of the camera film back. A significant improvement was noted by impartial masked observers who assessed standard photographs of the iris, conjunctiva, and sclera. A crosslike artifact, observed in photographs using cross-polarizers, was present and originated from corneal birefringence. The significance of the artifact and its possible diagnostic applications were determined.

Anterior Eye Segment↗
PubMed1979

Pediatric otoscopy and photography of the tympanic membrane.

A further miniaturization of the lens telescopes (Hopkins Rod) has resulted in a telescope (length, 6 cm; diameter, 2.7 mm) that is suitable for pediatric otoscopy. The adaptation of otoscopic specula, a lightweight motor-driven remote flash camera, and movie and video photography to this telescope has resulted in a system that represents a significant advance in the examination of the ear. In this study, we document ear diseases in children with the use of color photographs.

Child↗
PubMed2002

Experience with wood lamp illumination and digital photography in the documentation of bruises on human skin.

Bruising is very common in children. Examination of bruising can guide the clinician in ordering radiographic imaging studies of children who have suffered trauma. Additionally, bruising in infants and patterns of bruising that do not match the injury scenario offered by caretakers can raise the suspicion of abuse. This article reports preliminary experience with Wood lamp enhancement of faint bruises and visualization of bruises that are not visible. It describes the method for digital photography of bruises visualized in this way. Finally, it suggests future applications and areas of further study.

Adolescent↗
PubMed2025

Cost-Effectiveness Analysis of 3D Total-Body Photography for People at High Risk of Melanoma.

IMPORTANCE: Greater use of novel digital technologies could be associated with improved health outcomes and save health care costs by detecting smaller melanomas earlier (needing less treatment) or benign tumors (needing no treatment). OBJECTIVE: To compare costs and health effects of 3-dimensional (3D) total-body photography (TBP) and sequential digital dermoscopy imaging (SDDI) vs usual care for early detection of melanoma. DESIGN, SETTING, AND PARTICIPANTS: This prespecified cost-effectiveness analysis using randomized clinical trial (n = 309) data with 2 years of follow-up was conducted at a research hospital in Brisbane, Australia, and took a health system perspective. It included adults 18 years or older at high risk of developing a primary or subsequent melanoma. INTERVENTION: The intervention group received usual care plus clinical skin examinations by junior clinicians at baseline and 6, 12, 18, and 24 months with 3D TBP-SDDI reviewed by a teledermatologist. The control group continued to receive usual care and completed online surveys every 6 months. MAIN OUTCOMES AND MEASURES: Government health care costs, patient out-of-pocket costs, numbers of benign and malignant skin tumor excisions, and quality-adjusted life-years. Skin biopsy, excisions, pathology, and their costs were collected using administrative claims data. Quality of life was collected using the EuroQol-5D-5L. RESULTS: The trial included 314 participants (mean [SD] age, 51.6 [12.8] years; 194 female individuals [62%]) who completed all of the study procedures (158 in the intervention and 156 in the control groups). Compared with controls, intervention group participants had fewer melanoma excisions, more keratinocyte carcinomas and benign excisions, and more biopsy specimens. Over 24 months, mean per-person costs (analyzed in Australian dollars and converted to US$) for the intervention group were $1708 (95% CI, $1455-$1961) vs $763 (95% CI, $655-$870) for controls, an incremental cost of $945 (95% CI, $738-$1157) to provide the intervention. Total quality-adjusted life-years per person were similar for the intervention (1.84; 95% CI, 1.82-1.86) and control groups (1.84; 95% CI, 1.83-1.86). The incremental cost per additional malignant skin tumor excised was $40 (95% CI, $34-$48). CONCLUSIONS AND RELEVANCE: Over 2 years of the trial, the 3D TBP-SDDI model by junior clinicians and teledermatologist review generated higher costs and detected similar numbers of malignant tumors than usual care in a high-risk melanoma cohort. Cost-effectiveness is a necessary but not sufficient consideration for implementation. Other benefits of 3D TBP-SDDI may arise once artificial intelligence clinician support systems are integrated, and more research is needed to understand factors associated with costs and whether there are other benefits of 3D TBP-SDDI.

Adult↗
PubMed1998

Screening for diabetic retinopathy by general practitioners: ophthalmoscopy or retinal photography as 35 mm colour transparencies?

In order to assess the relative ability of general practitioners (GPs) to detect diabetic retinopathy (DR), especially sight-threatening diabetic retinopathy (STDR) by direct ophthalmoscopy or by examining, on a separate occasion, retinal images as 35 mm colour transparencies, a South and Mid Wales primary care-based study was performed in four general practices (six GPs). The participating GPs were provided with standardized training and equipment. Both methods were compared to the 'reference' grade of DR provided by the Diabetic Retinopathy Reading Centre (London), based on the same retinal images. Ophthalmoscopy and retinal photography (Canon CR4 45NM) with mydriasis were all practice based. The clinical assessments were based on a protocol developed for screening for DR in Europe. A total of 996 people with diabetes were identified, representing a prevalence of known diabetes of 2.1%. After exclusions on medical grounds, 897 patients were available for screening, of whom 605 (68%) were photographed. Based on the retinal images, the reference centre identified DR in 43% and STDR in 14.4%. In total, 597 valid comparisons between GPs and the reference centre were obtained; of these, 462 (77%) were high quality photographs which were used in subsequent analysis. The sensitivity for detecting any DR increased from 62.6% (95% CI 55.9-69.4) with ophthalmoscopy to 79.2% (95% CI 73.6-84.9) using retinal photographs, specificity remaining essentially unchanged at 75.0 (95% CI 69.5-80.5) and 73.5% (95% CI 68.0-79.1) with the positive predictive value (PPV) increasing from 67.2 (95% CI 60.4-74.0) to 71.0% (95% CI 65.0-77.0), respectively. The detection of STDR sensitivity increased from 65.7 (95% CI 54.4-77.1) with ophthalmoscopy alone to 87.3% (95% CI 79.4-95.2) based on retinal photographs with specificity falling from 93.8 (95% CI 91.4-96.3) to 84.8% (95% CI 81.2-88.5) and PPV from 65.7 (95% CI 54.4-77.1) to 51.2% (95% CI 42.1-60.3), respectively. We conclude that the use of standardized 35 mm colour transparency retinal photographs for screening by trained GPs in a primary care setting achieves an acceptable detection rate (>87%) for STDR, contrasting with ophthalmoscopy alone (66%), which was below the proposed UK standard of 80%.

Diabetes Mellitus, Type 1↗
PubMedDate not supplied

Light from Maillard reaction: photon counting, emission spectrum, photography and visual perception.

Several authors have reported on high-sensitivity measurement of oxygen-dependent low-level chemiluminescence (CL) from Maillard reactions (MR), i.e. nonenzymatic amino-carbonyl reactions between reducing sugars and amino acids (also referred to as nonenzymatic browning). Here we report for the first time, that light from Maillard reactions can be seen by the human eye and also can be photographed. In parallel with visual perception and photography CL was monitored by means of a CL-detection programme of a liquid scintillation counter (LSC, single photon rate counting). CL emission spectrum was recorded by a monochromator-microchannel plate photomultiplier arrangement. CL intensity from reaction of 6-aminocaproic acid with D-ribose (200 mg each) in 5 mL H2O at pH 11 at 95 degrees C was high enough for visual perception after adaptation to absolute darkness. Reaction in dimethylsulphoxide (DMSO) exhibited strongly enhanced CL (10 mg each in 5 mL were sufficient for visual detection) and could be photographed (15 minutes' exposure, ASA 6400); all characteristics of Maillard specific CL (O2-dependence, no CL from nonreducing sugars, inhibition by sulphur compounds) remained. Visual detection of CL and measurement by LSC were in full concordance. The CL emission spectrum showed two broad peaks at around 500 nm and 695 nm. Fluorescence emission of the brown reaction mixture matched the blue-green part of the CL emission spectrum. Emission of visible light during Maillard reactions may partly originate from oxygen-dependent generation of excited states and energy transfer to simultaneously formed fluorescent products of the browning reaction.

Amino Acids↗