Richard – you were right on, a few decades ago,,,
Have fun
Ethan
http://bwrcs.eecs.berkeley.edu/Classes/icdesign/ee141_s02/Lectures/Lecture5-Manufacturing.pdf
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Richard Hackel
Sent: Tuesday, September 26, 2017 5:03 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: [External] OCTA
A few decades ago I thought some process would eventually replace silver for
photography, but I assumed it would be another chemical process.
Richard
On Sep 26, 2017, at 8:43 AM, Ethan Priel <prieleye@xxxxxxxxxxxxxxxx> wrote:
Good morning,
I think that the OCT A enthusiasts might be overlooking part of the time
considerations:
- Even if it does take only a few short minutes to generate a (small….)
macular scan with OCTA, it is neigh impossible to scan the near, not to mention
the far, periphery
- Following the scan art, it takes at least as long to review and
interpret – often by a physician – which raises the cost-per-minute
considerably. Arriving at a comprehensive diagnosis based on an FA often takes
no longer than a glance…
- In addition, OCTA does not offer ( as of yet) information regarding
flow, leakage and stereo imaging, all which are readily available while
employing the art of the FA
And yes, long live. And prosper.
Ethan
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Critser, Douglas B
Sent: Tuesday, September 26, 2017 5:39 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: [External] OCTA
Not to mention, in the time it takes to do a proper FA, you could do 5-6
OCT-A's. We still don't know true flow information, but for areas of
non-perfusion, it's great! The art is dying folks, long live the art.
Brice Critser, CRA
Director of Diagnostic Imaging
University of Iowa Hospitals & Clinics, Department of Ophthalmology
On Sep 25, 2017, at 9:02 PM, Darrin Landry <darrin@xxxxxxxxxxxxxxxx> wrote:
The argument I get from everyone regarding OCTA is that you can’t get
reimbursed (other than as an OCT). So with the reimbursement cuts for
fluorescein angiography, and the increase in the cost of NaFl, I did a cost
analysis in a practice. With photographer time, supplies, maintenance, etc, it
costs the practice $5 for each angiogram. So yes, you don’t get reimbursed for
OCTA, but now, you don’t get reimbursed for FA, either.
Food for thought…
Darrin A. Landry, CRA, OCT-C
Ophthalmic Consutant
Bryson Taylor, Inc.
www.brysontaylor.com
207-838-0961
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