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Autofluorescence of Cells Provides Early Eye Disease Diagnosis

By MedImaging staff writers
Posted on 27 Feb 2008

Image: Colored scanning electron micrograph (SEM) of receptor cells in the human retina, the light-sensitive tissue that lines the inside of the eye (Photo courtesy of the Eye of Science).

Autofluorescence begins when retinal cells begin to die. A unique imaging system equipped with state-of-the art cameras, filters, and electronic switching, together with customized imaging software and a computer interface, was developed to measure the intensity of this flavoprotein autofluorescence (FA). The device will be vision-saving because many severe eye diseases do not exhibit early warning signals before they begin to diminish vision. The testing is noninvasive and takes less than six minutes to administer to a patient.

Victor M. Elner, M.D., Ph.D., and Howard R. Petty, Ph.D., from the University of Michigan Eye Center (U-M; Ann Arbor, MI, USA) used the instrument to measure the degree a visual condition affected six women. The women had been recently diagnosed with pseudotumor cerebri (PTC), a condition that mimics a brain tumor and often causes increased pressure on the optic nerve that can lead to vision loss.

Because each woman's disease was in a very early stage, the instrument could be accurately appraised compared to several standard tests used to evaluate vision: visual fields, visual acuity, and pupillary light response. In each case, the imaging instrument provided results that were equal to and often superior to the standard tests.

All of the patients with PTC had higher FA values in the eye that was more severely affected. FA values averaged 60% greater in the more affected eye of these women. By contrast, the control group had no significant difference in FA values between their healthy eyes. In addition, FA data more accurately described the different degree of disease in each eye for a given patient, as compared to the standard vision tests.

Dr. Petty, a biophysicist and expert in imaging, explained why FA data is a good predictor of disease, "Cell death can be observed microscopically, but not as yet through any current imaging methods. We believe this study is a big step forward toward creating a diagnostic tool that can characterize disease long before symptoms or visible signs appear.”

The study was reported in the February 2008 Archives of Ophthalmology.

Drs. Elner and Petty have patented the device through the U-M Office of Technology Transfer. They are investigating its use as a screening device in diabetes and other major eye diseases.

Related Links:
University of Michigan Eye Center

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68 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=272840000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=272840000 AND published='1' LIMIT 1

69 (32.901763916016): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

70 (!!!!! 3445.1484680176): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (543.11752319336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.021575927734): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 3673.0766296387): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (72.956085205078): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2084.9704742432): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

105 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

106 (56.028366088867): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (545.97854614258): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2608.060836792): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

109 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

110 (53.167343139648): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (578.16505432129): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (921.96464538574): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (458.95576477051): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

115 (288.00964355469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

116 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

117 (!!!!! 2016.0675048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

118 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

121 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

122 (339.03121948242): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 50367.116928101): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (721.93145751953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=272840000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=272840000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (79.154968261719): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (46.968460083008): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (39.815902709961): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (82.015991210938): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (73.909759521484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (484.94338989258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (305.17578125): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=215

138 (28.133392333984): SELECT name FROM jos_deeppockets WHERE id=215

139 (567.91305541992): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (497.10273742676): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

142 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

143 (!!!!! 8626.9378662109): TRUNCATE TABLE jos_trademed_module

144 (117.06352233887): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (53.882598876953): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=272840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (333.07075500488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (217.19932556152): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

150 (!!!!! 1610.9943389893): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

152 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

153 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=272840000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=272840000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

155 (36.001205444336): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

156 (36.954879760742): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

158 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=272840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=272840000 AND published='1' LIMIT 1

159 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

160 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

161 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

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