[optimal] Re: From Denice SF

  • From: Ethan Priel <prieleye@xxxxxxxxxxxxxxxx>
  • To: optimal@xxxxxxxxxxxxx
  • Date: Sat, 18 Feb 2012 14:41:20 +0200

All,

We do dozens and dozens of exams a day.

 

Have not found any reason to use more than 12 ( max !) ART averaging.

The Volume Scan is set to 9 ART.

 

Try it, you will like it.

Ethan 

 

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Eric Kegley
Sent: 17 February, 2012 06:32
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice SF

 

Denice,

I have personally been involved in about 60 clinical trials over the last 9-10 
years. Naturally we have only been using SD-OCT in trials for about the last 
2-3 years. We have never had a protocol that requires 100 ART except one and 
that was for RNFL.  Whenever got our Spectralis (in 2008 I think), we did a 
very non-scientific evaluation of the best combination of ART versus "face 
time". We found that we got good detail with 9 ART. It just so happens that 
when we did our first Spectralis study with Duke, they chose 9 ART for the 49 
line volume scan- I know this isn't a direct correlation with the radial lines 
you are doing but could help justify the use of fewer ART for you. I think we 
have one current trial that uses 6 line radial scans and I believe we are using 
16 ART. (which IMHO is plenty).

EK




Eric Kegley, CRA, COA
Retina Consultants of Houston
6560 Fannin St., #750
Houston, TX 77030
Sent from my Palm Touchpad

  _____  

On Feb 16, 2012 6:08 PM, CPMC Ophthalmic Diagnostic Center 
<cpmceyelab@xxxxxxxxxxxxxxxx> wrote: 
Dear Fellow Optimalers 

I have spoken with the study coordinators again today because my poor patient 
could not hold his fixation for the 100 ART per 6 spoke Radial scans. 

They are asking me for collaboration that I am not crazy, that this protocol is 
excessive. If you have an opinion, please weigh in. I will forward, as 
requested, the consensus. 

Denice 

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS 
Ophthalmic Diagnostic Center 
CPMC Department of Ophthalmology 
2100 Webster Street Suite 212 
San Francisco CA 94115 
(415) 600-3937   FAX (415) 600-6563 


-----Original Message----- 
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Carlton, Chris [VA] 
Sent: Wednesday, February 15, 2012 7:26 AM 
To: 'optimal@xxxxxxxxxxxxx' 
Subject: [optimal] Re: From Denice SF 

Is this not a safety issue? The timeout is for a reason. I believe there are 
guidelines on how much exposure from a laser on a single area of the retina. 

100 ART is ridiculous. These people apparently no little about the Spectralis. 
I rarely let ART build too high as you get diminishing returns. Many times the 
images build too much filling in pathology and blurring artifacts in the 
vitreous. 

Many of the study protocols are becoming ridiculous. 

There seems to be a need for central certification process that serves all 
reading centers. 

Chris Carlton 
Photographer 
VCH/UBC Eye Care Center 





________________________________ 
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Eric Kegley 
Sent: Thursday, February 09, 2012 4:41 PM 
To: optimal@xxxxxxxxxxxxx 
Subject: [optimal] Re: From Denice SF 

Denice, 
You could always create a new patient with dummy information, scan the subject, 
then bring up the real record and change the data to the correct data. That is 
unless he already has a study record and you must down "followup" scans. 
EK 


Eric Kegley, CRA, COA 
Director of Ophthalmic Imaging 
Retina Consultants of Houston 
6560 Fannin St., #750 
Houston, TX 77030 
Sent from my Palm Pre3 on AT&T 


________________________________ 
On Feb 9, 2012 6:23 PM, Cunningham, Denise (NIH/NEI) [E] 
<CunninghamD@xxxxxxxxxxx> wrote: 

Please SHARE your answer! We encounter the same problems and need a solution. 

From: CPMC Ophthalmic Diagnostic Center [mailto:cpmceyelab@xxxxxxxxxxxxxxxx] 
Sent: Thursday, February 09, 2012 07:18 PM 
To: optimal@xxxxxxxxxxxxx <optimal@xxxxxxxxxxxxx> 
Subject: [optimal] From Denice SF 

Got my answer! Gotta love Optimal. 

Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS 
Ophthalmic Diagnostic Center 
CPMC Department of Ophthalmology 
2100 Webster Street Suite 212 
San Francisco CA 94115 
(415) 600-3937 FAX (415) 600-6563 




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