AIM:To compare the diagnostic performance of isolatedcheck visual evoked potential(ic VEP) and standard automated perimetry(SAP),for evaluating the application values of ic VEP in the detection of early glaucoma....AIM:To compare the diagnostic performance of isolatedcheck visual evoked potential(ic VEP) and standard automated perimetry(SAP),for evaluating the application values of ic VEP in the detection of early glaucoma.METHODS:Totally 144 subjects(288 eyes) were enrolled in this study.ic VEP testing was performed with the Neucodia visual electrophysiological diagnostic system.A 15% positive-contrast(bright) condition pattern was used in this device to differentiate between glaucoma patients and healthy control subjects.Signal-to-noise ratios(SNR) were derived based on a multivariate statistic.The eyes were judged as abnormal if the test yielded an SNR≤1.SAP testing was performed with the Humphrey Field Analyzer II.The visual fields were deemed as abnormality if the glaucoma hemifield test results outside normal limits;or the pattern standard deviation with P〈0.05;or the cluster of three or more non-edge points on the pattern deviation plot in a single hemifield with P〈0.05,one of which must have a P〈0.01.Disc photographs were graded as either glaucomatous optic neuropathy or normal by two experts who were masked to all other patient information.Moorfields regression analysis(MRA) used as a separate diagnostic classification was performed by Heidelberg retina tomograph(HRT).RESULTS:When the disc photograph grader was used as diagnostic standard,the sensitivity for SAP and ic VEP was 32.3% and 38.5% respectively and specificity was 82.3% and 77.8% respectively.When the MRA Classifier was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 48.6% and 51.4% respectively and specificity was 84.1% and 78.0% respectively.When the combined structural assessment was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 59.2%and 53.1% respectively and specificity was 84.2% and 84.6% respectivlely.There was no statistical significance between the sensitivity or specificity of SAP and ic VEP,regardless of which diagnostic standard was based on.CONCLUSION:The diagnostic performance of ic VEP is not better than that of SAP in the detection of early glaucoma.展开更多
海量远程数据完整性检测是云计算安全领域的一个研究热点,可证数据持有(Provable Data Possession,PDP)是一种轻量级远程数据完整性概率检测模型。从不同的公钥基础架构的角度,综述了PDP的研究进展。首先,针对公钥架构(Public Key Infra...海量远程数据完整性检测是云计算安全领域的一个研究热点,可证数据持有(Provable Data Possession,PDP)是一种轻量级远程数据完整性概率检测模型。从不同的公钥基础架构的角度,综述了PDP的研究进展。首先,针对公钥架构(Public Key Infrastructure,PKI)、身份基公钥密码和无证书公钥密码体制,分别阐述了PDP的研究背景和主要研究进展。其次,给出了结合新型网络技术的PDP方案,如区块链技术、DNA技术等。最后,展望了未来PDP研究的一些重要方向,包括量子计算和抗量子PDP、新型智慧城市和基于我国商用密码标准的PDP、6G和内生安全PDP等。展开更多
基金Supported by the Plan of Wenzhou Science and Technology(No.Y20160439)
文摘AIM:To compare the diagnostic performance of isolatedcheck visual evoked potential(ic VEP) and standard automated perimetry(SAP),for evaluating the application values of ic VEP in the detection of early glaucoma.METHODS:Totally 144 subjects(288 eyes) were enrolled in this study.ic VEP testing was performed with the Neucodia visual electrophysiological diagnostic system.A 15% positive-contrast(bright) condition pattern was used in this device to differentiate between glaucoma patients and healthy control subjects.Signal-to-noise ratios(SNR) were derived based on a multivariate statistic.The eyes were judged as abnormal if the test yielded an SNR≤1.SAP testing was performed with the Humphrey Field Analyzer II.The visual fields were deemed as abnormality if the glaucoma hemifield test results outside normal limits;or the pattern standard deviation with P〈0.05;or the cluster of three or more non-edge points on the pattern deviation plot in a single hemifield with P〈0.05,one of which must have a P〈0.01.Disc photographs were graded as either glaucomatous optic neuropathy or normal by two experts who were masked to all other patient information.Moorfields regression analysis(MRA) used as a separate diagnostic classification was performed by Heidelberg retina tomograph(HRT).RESULTS:When the disc photograph grader was used as diagnostic standard,the sensitivity for SAP and ic VEP was 32.3% and 38.5% respectively and specificity was 82.3% and 77.8% respectively.When the MRA Classifier was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 48.6% and 51.4% respectively and specificity was 84.1% and 78.0% respectively.When the combined structural assessment was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 59.2%and 53.1% respectively and specificity was 84.2% and 84.6% respectivlely.There was no statistical significance between the sensitivity or specificity of SAP and ic VEP,regardless of which diagnostic standard was based on.CONCLUSION:The diagnostic performance of ic VEP is not better than that of SAP in the detection of early glaucoma.
文摘海量远程数据完整性检测是云计算安全领域的一个研究热点,可证数据持有(Provable Data Possession,PDP)是一种轻量级远程数据完整性概率检测模型。从不同的公钥基础架构的角度,综述了PDP的研究进展。首先,针对公钥架构(Public Key Infrastructure,PKI)、身份基公钥密码和无证书公钥密码体制,分别阐述了PDP的研究背景和主要研究进展。其次,给出了结合新型网络技术的PDP方案,如区块链技术、DNA技术等。最后,展望了未来PDP研究的一些重要方向,包括量子计算和抗量子PDP、新型智慧城市和基于我国商用密码标准的PDP、6G和内生安全PDP等。