Evaluation of a calibration rig for stereo laparoscopes.

BACKGROUND: Accurate camera and hand-eye calibration are essential to ensure high-quality results in image-guided surgery applications. The process must also be able to be undertaken by a nonexpert user in a surgical setting. PURPOSE: This work seeks to identify a suitable method for tracked stereo laparoscope calibration within theater. METHODS: A custom calibration rig, to enable rapid calibration in a surgical setting, was designed. The rig was compared against freehand calibration. Stereo reprojection, stereo reconstruction, tracked stereo reprojection, and tracked stereo reconstruction error metrics were used to evaluate calibration quality. RESULTS: Use of the calibration rig reduced mean errors: reprojection (1.47 mm [SD 0.13] vs. 3.14 mm [SD 2.11], p-value 1e-8), reconstruction (1.37 px [SD 0.10] vs. 10.10 px [SD 4.54], p-value 6e-7), and tracked reconstruction (1.38 mm [SD 0.10] vs. 12.64 mm [SD 4.34], p-value 1e-6) compared with freehand calibration. The use of a ChArUco pattern yielded slightly lower reprojection errors, while a dot grid produced lower reconstruction errors and was more robust under strong global illumination. CONCLUSION: The use of the calibration rig results in a statistically significant decrease in calibration error metrics, versus freehand calibration, and represents the preferred approach for use in the operating theater.

Demonstration of Spin-Multiplexed and Direction-Multiplexed All-Dielectric Visible Metaholograms.

The optical holography technique realized by metasurfaces has emerged as a novel approach to projective volumetric display and information encryption display in the form of ultrathin and almost flat optical devices. Compared to the conventional holographic technique with spatial light modulators, the metahologram has numerous advantages such as miniaturization of optical setup, higher image resolution and larger field of visibility for holographic images. Here, a protocol is reported for the fabrication and optical characterization of optical metaholograms that are sensitive to the spin and direction of incident light. The metasurfaces are composed of hydrogenated amorphous silicon (a-Si:H), which has large refractive index and small extinction coefficient in the entire visible range resulting in high transmittance and diffraction efficiency. The device produces different holographic images when the spin or direction of incident light are switched. Therefore, they can encode multiple types of visual information simultaneously. The fabrication protocol consists of film deposition, electron beam writing and subsequent etching. The fabricated device can be characterized using a customized optical setup that consists of a laser, a linear polarizer, a quarter waveplate, a lens and a charge-coupled device (CCD).

Everyday visual demands of people with low vision: A mixed methods real-life recording study.

Research has demonstrated that low vison aids (LVAs) can have a positive impact on the functional sight of those living with sight loss. Step changes in technology are now enabling new wearable LVAs with greater potential than those available previously. For these novel devices to receive increased acceptance and therefore adoption by those with sight loss, visual task demands have to be understood more clearly in order to enable better alignment between device design and user requirements. The aim of this study was to quantify these requirements. Thirty-two participants aged 18 to 87 wore a spectacle-mounted video camera to capture and narrate all everyday situations in which they would use a "perfect" sight aid during 1 week. Captured scenes were analyzed through categorization and computational image analysis. Results showed large variation in activities and lifestyles. Participants reported no available sight aid or coping strategy for 57% of the recorded activities. Reading made up 49% of all recorded tasks, the other half comprising non-textual information. Overall, 75% of captured activities were performed ad hoc (duration of 0-5 minutes), 78% occurred indoors, 58% occurred at home, 48% were lit by natural light, 68% included the object of interest within reach, and 69% required a single focus plane only. Around half of captured objects of interest had a size of 2 degrees visual angle (2.08 logarithm of the minimum angle of resolution [logMAR]) or smaller. This study highlights the need for a sight aid that can make both textual and non-textual scenes accessible while offering flexibility to accommodate individual lifestyles.

Characterization of SiN Integrated Optical Phased Arrays on a Wafer-Scale Test Station.

Optical phased arrays (OPAs) can produce low-divergence laser beams and can be used to control the emission angle electronically without the need for moving mechanical parts. This technology is particularly useful for beam steering applications. Here, we focus on OPAs integrated into SiN photonic circuits for a wavelength in the near infrared. A characterization method of such circuits is presented, which allows the output beam of integrated OPAs to be shaped and steered. Furthermore, using a wafer-scale characterization setup, several devices can easily be tested across multiple dies on a wafer. In this way, fabrication variations can be studied, and high-performance devices identified. Typical images of OPA beams are shown, including beams emitted from OPAs with and without a uniform waveguide length, and with varying numbers of channels. In addition, the evolution of output beams during the phase optimization process and beam steering in two dimensions is presented. Finally, a study of the variation in the beam divergence of identical devices is performed with respect to their position on the wafer.

Validation of Polar OH1 optical heart rate sensor for moderate and high intensity physical activities.

BACKGROUND: Optical measurement techniques and recent advances in wearable technology have made heart rate (HR) sensing simpler and more affordable. OBJECTIVES: The Polar OH1 is an arm worn optical heart rate monitor. The objectives of this study are two-fold; 1) to validate the OH1 optical HR sensor with the gold standard of HR measurement, electrocardiography (ECG), over a range of moderate to high intensity physical activities, 2) to validate wearing the OH1 at the temple as an alternative location to its recommended wearing location around the forearm and upper arm. METHODS: Twenty-four individuals participated in a physical exercise protocol, by walking on a treadmill and riding a stationary spin bike at different speeds while the criterion measure, ECG and Polar OH1 HR were recorded simultaneously at three different body locations; forearm, upper arm and the temple. Time synchronised HR data points were compared using Bland-Altman analyses and intraclass correlation. RESULTS: The intraclass correlation between the ECG and Polar OH1, for the aggregated data, was 0.99 and the estimated mean bias ranged 0.27-0.33 bpm for the sensor locations. The three sensors exhibited a 95% limit of agreement (LoA: forearm 5.22, -4.68 bpm; upper arm 5.15, -4.49; temple 5.22, -4.66). The mean of the ECG HR for the aggregated data was 112.15 ± 24.52 bpm. The intraclass correlation of HR values below and above this mean were 0.98 and 0.99 respectively. The reported mean bias ranged 0.38-0.47 bpm (95% LoA: forearm 6.14, -5.38 bpm; upper arm 6.07, -5.13 bpm; temple 6.09, -5.31 bpm), and 0.15-0.16 bpm (95% LoA: forearm 3.99, -3.69 bpm; upper arm 3.90, -3.58 bpm; temple 4.06, -3.76 bpm) respectively. During different exercise intensities, the intraclass correlation ranged 0.95-0.99 for the three sensor locations. During the entire protocol, the estimated mean bias was in the range -0.15-0.55 bpm, 0.01-0.53 bpm and -0.37-0.48 bpm, for the forearm, upper arm and temple locations respectively. The corresponding upper limits of 95% LoA were 3.22-7.03 bpm, 3.25-6.82 bpm and 3.18-7.04 bpm while the lower limits of 95% LoA were -6.36-(-2.35) bpm, -6.46-(-2.30) bpm and -7.42-(-2.41) bpm. CONCLUSION: Polar OH1 demonstrates high level of agreement with the criterion measure ECG HR, thus can be used as a valid measure of HR in lab and field settings during moderate and high intensity physical activities.

Spores of puffball fungus Lycoperdon pyriforme as a reference standard of stable monodisperse aerosol for calibration of optical instruments.

Advanced air quality control requires real-time monitoring of particulate matter size and concentration, which can only be done using optical instruments. However, such techniques need regular calibration with reference samples. In this study, we suggest that puffball fungus (Lycoperdon pyriforme) spores can be utilized as a reference standard having a monodisperse size distribution. We compare the Lycoperdon pyriforme spores with the other commonly used reference samples, such as Al2O3 powder and polystyrene latex (PSL) microspheres. Here we demonstrate that the puffball spores do not coagulate and, thus, maintain the same particle size in the aerosol state for at least 15 minutes, which is enough for instrument calibration. Moreover, the puffball mushrooms can be stored for several years and no agglomeration of the spores occurs. They are also much cheaper than other calibration samples and no additional devices are needed for aerosol generation since the fungal fruiting body acts as an atomizer itself. The aforementioned features make the fungal spores a highly promising substance for calibration and validation of particle size analyzers, which outperforms the existing, artificially produced particles for aerosol sampling. Furthermore, the L. pyriforme spores are convenient for basic research and development of new optical measurement techniques, taking into account their uniform particle size and absent coagulation in the aerosol.

Ocular Medical Devices: Histologic Technique and Histopathologic Evaluation of the Biocompatibility and Performance.

Ocular medical devices (MDs) represent a very wide and promising field of human ophthalmology. In preclinical studies evaluating the safety and/or performance of these ocular MDs, the choice of histologic technique and the focus of the histopathologic evaluation method should take into consideration the following aspects: the specific guidelines possibly associated with the MD or combination product, the ocular compartment in contact with the MD and its specificities, and last the nature of the biomaterial used in the MD. Following a brief overview of animal models, this short review will present the different types of ocular MDs and will present the specificities of the histologic technique and the histopathologic evaluation related to ocular MDs.

The efficiency of light-emitting diode suction traps for the collection of South African livestock-associated Culicoides species.

Culicoides biting midges (Diptera: Ceratopogonidae) are vectors of a range of orbiviruses that cause important veterinary diseases such as bluetongue and African horse sickness. The effective monitoring of Culicoides species diversity and abundance, both at livestock and near potential wildlife hosts, is essential for risk management. The Onderstepoort 220-V ultraviolet (UV) light trap is extensively used for this purpose. Reducing its power requirements by fitting low-energy light-emitting diodes (LEDs) can lead to greater flexibility in monitoring. A comparison of the efficiency of the 220-V Onderstepoort trap (8-W fluorescent UV light) with the efficiency of the 220-V or 12-V Onderstepoort traps fitted with red, white, blue or green LEDs or a 12-V fluorescent Onderstepoort trap demonstrated the 220-V Onderstepoort trap to be the most efficient. All the results showed nulliparous Culicoides imicola Kieffer females to be the dominant grouping. Despite the lower numbers collected, 12-V traps can be used in field situations to determine the most abundant species.

Reading aids for adults with low vision.

BACKGROUND: The purpose of low-vision rehabilitation is to allow people to resume or to continue to perform daily living tasks, with reading being one of the most important. This is achieved by providing appropriate optical devices and special training in the use of residual-vision and low-vision aids, which range from simple optical magnifiers to high-magnification video magnifiers. OBJECTIVES: To assess the effects of different visual reading aids for adults with low vision. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Trials Register) (2017, Issue 12); MEDLINE Ovid; Embase Ovid; BIREME LILACS, OpenGrey, the ISRCTN registry; ClinicalTrials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP). The date of the search was 17 January 2018. SELECTION CRITERIA: This review includes randomised and quasi-randomised trials that compared any device or aid used for reading to another device or aid in people aged 16 or over with low vision as defined by the study investigators. We did not compare low-vision aids with no low-vision aid since it is obviously not possible to measure reading speed, our primary outcome, in people that cannot read ordinary print. We considered reading aids that maximise the person's visual reading capacity, for example by increasing image magnification (optical and electronic magnifiers), augmenting text contrast (coloured filters) or trying to optimise the viewing angle or gaze position (such as prisms). We have not included studies investigating reading aids that allow reading through hearing, such as talking books or screen readers, or through touch, such as Braille-based devices and we did not consider rehabilitation strategies or complex low-vision interventions. DATA COLLECTION AND ANALYSIS: We used standard methods expected by Cochrane. At least two authors independently assessed trial quality and extracted data. The primary outcome of the review was reading speed in words per minute. Secondary outcomes included reading duration and acuity, ease and frequency of use, quality of life and adverse outcomes. We graded the certainty of the evidence using GRADE. MAIN RESULTS: We included 11 small studies with a cross-over design (435 people overall), one study with two parallel arms (37 participants) and one study with three parallel arms (243 participants). These studies took place in the USA (7 studies), the UK (5 studies) and Canada (1 study). Age-related macular degeneration (AMD) was the most frequent cause of low vision, with 10 studies reporting 50% or more participants with the condition. Participants were aged 9 to 97 years in these studies, but most were older (the median average age across studies was 71 years). None of the studies were masked; otherwise we largely judged the studies to be at low risk of bias. All studies reported the primary outcome: results for reading speed. None of the studies measured or reported adverse outcomes.Reading speed may be higher with stand-mounted closed circuit television (CCTV) than with optical devices (stand or hand magnifiers) (low-certainty evidence, 2 studies, 92 participants). There was moderate-certainty evidence that reading duration was longer with the electronic devices and that they were easier to use. Similar results were seen for electronic devices with the camera mounted in a 'mouse'. Mixed results were seen for head-mounted devices with one study of 70 participants finding a mouse-based head-mounted device to be better than an optical device and another study of 20 participants finding optical devices better (low-certainty evidence). Low-certainty evidence from three studies (93 participants) suggested no important differences in reading speed, acuity or ease of use between stand-mounted and head-mounted electronic devices. Similarly, low-certainty evidence from one study of 100 participants suggested no important differences between a 9.7'' tablet computer and stand-mounted CCTV in reading speed, with imprecise estimates (other outcomes not reported).Low-certainty evidence showed little difference in reading speed in one study with 100 participants that added electronic portable devices to preferred optical devices. One parallel-arm study in 37 participants found low-certainty evidence of higher reading speed at one month if participants received a CCTV at the initial rehabilitation consultation instead of a standard low-vision aids prescription alone.A parallel-arm study including 243 participants with AMD found no important differences in reading speed, reading acuity and quality of life between prism spectacles and conventional spectacles. One study in 10 people with AMD found that reading speed with several overlay coloured filters was no better and possibly worse than with a clear filter (low-certainty evidence, other outcomes not reported). AUTHORS' CONCLUSIONS: There is insufficient evidence supporting the use of a specific type of electronic or optical device for the most common profiles of low-vision aid users. However, there is some evidence that stand-mounted electronic devices may improve reading speeds compared with optical devices. There is less evidence to support the use of head-mounted or portable electronic devices; however, the technology of electronic devices may have improved since the studies included in this review took place, and modern portable electronic devices have desirable properties such as flexible use of magnification. There is no good evidence to support the use of filters or prism spectacles. Future research should focus on assessing sustained long-term use of each device and the effect of different training programmes on its use, combined with investigation of which patient characteristics predict performance with different devices, including some of the more costly electronic devices.

Minimizing fiducial localization error using sphere-based registration in jaw tracking.

Some of the jaw tracking methods may be limited in terms of their accuracy or clinical applicability. This article introduces the sphere-based registration method to minimize the fiducial (reference landmark) localization error (FLE) in tracking and coregistration of physical and virtual dental models, to enable an effective clinical analysis of the patient's masticatory functions. In this method, spheres (registration fiducials) are placed on the corresponding polygonal concavities of the physical and virtual dental models based on the geometrical principle that establishes a unique spatial position for a sphere inside an infinite trihedron. The experiments in this study were implemented using an optical system which tracked active tracking markers connected to the upper and lower dental casts. The accuracy of the tracking workflow was confirmed in vitro, based on comparing virtually calculated interocclusal regions of close proximity against the physical interocclusal impressions. The target registration error of the tracking was estimated based on the leave-one-sphere-out method to be the sum of the error of the sensors, i.e., the FLE was negligible. Moreover, based on a user study, the FLE of the proposed method was confirmed to be 5 and 10 times smaller than the FLE of conventional fiducial selections on the physical and virtual models, respectively. The proposed tracking method is non-invasive and appears to be sufficiently accurate. To conclude, the proposed registration and tracking principles can be extended to track any biomedical and non-biomedical geometries that contain polygonal concavities.

Solid tissue simulating phantoms having absorption at 970 nm for diffuse optics.

Tissue simulating phantoms can provide a valuable platform for quantitative evaluation of the performance of diffuse optical devices. While solid phantoms have been developed for applications related to characterizing exogenous fluorescence and intrinsic chromophores such as hemoglobin and melanin, we report the development of a poly(dimethylsiloxane) (PDMS) tissue phantom that mimics the spectral characteristics of tissue water. We have developed these phantoms to mimic different water fractions in tissue, with the purpose of testing new devices within the context of clinical applications such as burn wound triage. Compared to liquid phantoms, cured PDMS phantoms are easier to transport and use and have a longer usable life than gelatin-based phantoms. As silicone is hydrophobic, 9606 dye was used to mimic the optical absorption feature of water in the vicinity of 970 nm. Scattering properties are determined by adding titanium dioxide, which yields a wavelength-dependent scattering coefficient similar to that observed in tissue in the near-infrared. Phantom properties were characterized and validated using the techniques of inverse adding-doubling and spatial frequency domain imaging. Results presented here demonstrate that we can fabricate solid phantoms that can be used to simulate different water fractions

Modeling subdiffusive light scattering by incorporating the tissue phase function and detector numerical aperture.

To detect small-scale changes in tissue with optical techniques, small sampling volumes and, therefore, short source­detector separations are required. In this case, reflectance measurements are not adequately described by the diffusion approximation. Previous studies related subdiffusive reflectance to ? or ? , which parameterize the phase function. Recently, it was demonstrated that ? predicts subdiffusive reflectance better than ? , and that ? becomes less predictive for lower numerical apertures (NAs). We derive and evaluate the parameter R p NA , which incorporates the NA of the detector and the integral of the phase function over the NA in the backward and forward directions. Monte Carlo simulations are performed for overlapping source/detector geometries for a range of phase functions, reduced scattering coefficients, NAs, and source/detector diameters. R p NA improves prediction of the measured reflectance compared to ? and ? . It is, therefore, expected that R p NA will improve derivation of optical properties from subdiffusive measurements.

Influence of macular pigment optical density spatial distribution on intraocular scatter / Influencia de la distribución espacial de la densidad óptica del pigmento macular sobre la dispersión intraocular

Purpose: This study evaluated the summed measures of macular pigment optical density (MPOD) spatial distribution and their effects on intraocular scatter using a commercially available device (C-Quant, Oculus, USA). Methods: A customized heterochromatic flicker photometer (cHFP) device was used to measure MPOD spatial distribution across the central 16º using a 1º stimulus. MPOD was calculated as a discrete measure and summed measures across the central 1º, 3.3º, 10º and 16º diameters. Intraocular scatter was determined as a mean of 5 trials in which reliability and repeatability measures were met using the C-Quant. MPOD spatial distribution maps were constructed and the effects of both discrete and summed values on intraocular scatter were examined. Results: Spatial mapping identified mean values for discrete MPOD [0.32 (s.d. = 0.08)], MPOD summed across central 1º [0.37 (s.d. = 0.11)], MPOD summed across central 3.3º [0.85 (s.d. = 0.20)], MPOD summed across central 10º [1.60 (s.d. = 0.35)] and MPOD summed across central 16º [1.78 (s.d. = 0.39)]. Mean intraocular scatter was 0.83 (s.d. = 0.16) log units. While there were consistent trends for an inverse relationship between MPOD and scatter, these relationships were not statistically significant. Correlations between the highest and lowest quartiles of MPOD within the central 1º were near significance. Conclusions: While there was an overall trend of decreased intraocular forward scatter with increased MPOD consistent with selective short wavelength visible light attenuation, neither discrete nor summed values of MPOD significantly influence intraocular scatter as measured by the C-Quant device (AU)

Objetivo: Este estudio evaluó la suma de las mediciones de la distribución espacial de la densidad óptica del pigmento macular (MPOD) y sus efectos sobre la dispersión intraocular, utilizando un dispositivo comercialmente disponible (C-Quant, Oculus, EEUU). Métodos: Se utilizó un fotómetro intermitente heterocromático personalizado (cHFP) para medir la distribución espacial de la MPOD a lo largo de los 16º centrales, utilizando un estímulo de 1º. La MPOD se calculó como medición discreta y como las sumas de las mediciones a lo largo de los diámetros centrales de 1º, 3,3º, 10º y 16º. Se calculó la dispersión intraocular como media de los cinco ensayos en los que se lograron mediciones de fiabilidad y repetibilidad utilizando el dispositivo C-Quant. Se construyeron mapas de distribución espacial de la MPOD, examinándose los efectos sobre la dispersión intraocular, tanto de los valores discretos como de la suma de valores. Resultados: El mapeado espacial identificó valores medios para la MPOD discreta [0,32 (DE = 0,08)], la suma de MPOD a lo largo de 1º central [0,37 (DE = 0,11)], la suma de MPOD a lo largo de 3,3◦ centrales [0,85 (DE = 0.20)], la suma de MPOD a lo largo de 10º centrales [1,60 (DE = 0,35)] y la suma de MPOD a lo largo de 16◦ centrales [1,78 (DE = 0,39)]. La dispersión intraocular media fue de 0,83 (DE = 0,16) unidades log. A pesar de producirse una tendencia consistente hacia una relación inversa entre MPOD y dispersión, dichas relaciones no fueron estadísticamente significativas. Las correlaciones entre los cuartiles superior e inferior de la MPOD dentro de 1º central fueron próximas a la significación estadística. Conclusiones: A pesar de producirse una tendencia general hacia la disminución de la dispersión intraocular con el incremento de la MPOD, consistente con una atenuación selectiva de la luz visible con longitud de onda corta, ni los valores discretos ni la suma de valores de la MPOD reflejaron una influencia significativa sobre la dispersión intraocular, según las mediciones realizadas con el dispositivo C-Quant (AU)

Design of Interrogation Protocols for Radiation Dose Measurements Using Optically-Stimulated Luminescent Dosimeters.

Optically-stimulated luminescent dosimeters are capable of being interrogated multiple times post-irradiation. Each interrogation removes a fraction of the signal stored within the optically-stimulated luminescent dosimeter. This signal loss must be corrected to avoid systematic errors in estimating the average signal of a series of optically-stimulated luminescent dosimeter interrogations and requires a minimum number of consecutive readings to determine an average signal that is within a desired accuracy of the true signal with a desired statistical confidence. This paper establishes a technical basis for determining the required number of readings for a particular application of these dosimeters when using certain OSL dosimetry systems.

High performance CCD camera system for digitalisation of 2D DIGE gels.

An essential step in 2D DIGE-based analysis of differential proteome profiles is the accurate and sensitive digitalisation of 2D DIGE gels. The performance progress of commercially available charge-coupled device (CCD) camera-based systems combined with light emitting diodes (LED) opens up a new possibility for this type of digitalisation. Here, we assessed the performance of a CCD camera system (Intas Advanced 2D Imager) as alternative to a traditionally employed, high-end laser scanner system (Typhoon 9400) for digitalisation of differential protein profiles from three different environmental bacteria. Overall, the performance of the CCD camera system was comparable to the laser scanner, as evident from very similar protein abundance changes (irrespective of spot position and volume), as well as from linear range and limit of detection.

Development of traceable measurement of the diffuse optical properties of solid reference standards for biomedical optics at National Institute of Standards and Technology.

The development of a national reference instrument dedicated to the measurement of the scattering and absorption properties of solid tissue-mimicking phantoms used as reference standards is presented. The optical properties of the phantoms are measured with a double-integrating sphere setup in the steady-state domain, coupled with an inversion routine of the adding-doubling procedure that allows for the computation of the uncertainty budget for the measurements. The results are compared to the phantom manufacturer's values obtained by a time-resolved approach. The results suggest that the agreement between these two independent methods is within the estimated uncertainties. This new reference instrument will provide optical biomedical research laboratories with reference values for absolute diffuse optical properties of phantom materials.

A proposed method to detect kinematic differences between and within individuals.

The primary objective was to examine the utility of a novel method of detecting "actual" kinematic changes using the within-subject variation. Twenty firefighters were assigned to one of two groups (lifting or firefighting). Participants performed 25 repetitions of two lifting or firefighting tasks, in three sessions. The magnitude and within-subject variation of several discrete kinematic measures were computed. Sequential averages of each variable were used to derive a cubic, quadratic and linear regression equation. The efficacy of each equation was examined by contrasting participants' sequential means to their 25-trial mean±1SD and 2SD. The magnitude and within-subject variation of each dependent measure was repeatable for all tasks; however, each participant did not exhibit the same movement patterns as the group. The number of instances across all variables, tasks and testing sessions whereby the 25-trial mean±1SD was contained within the boundaries established by the regression equations increased as the aggregate scores included more trials. Each equation achieved success in at least 88% of all instances when three trials were included in the sequential mean (95% with five trials). The within-subject variation may offer a means to examine participant-specific changes without having to collect a large number of trials.

Accuracy of double Maddox rod with induced hypertropia in normal subjects.

BACKGROUND AND PURPOSE: The double Maddox rod is a commonly used instrument to test for cyclotorsion in the clinical setting. This paper assesses the ability of patients without torsional complaint to accurately demonstrate torsional status with varying degrees of induced hypertropia as tested by double Maddox rod. METHODS: Thirty-seven orthophoric subjects underwent double Maddox rod testing with vertical prism of 3(Δ), 10(Δ), 16(Δ), 20(Δ), and 30(Δ). Subjective torsion was recorded for each prism diopter. RESULTS: Mean subjective torsion was recorded as 0.95°, 1.6°, 1.9°, 2.1°, and 2.2° for 3(Δ), 10(Δ), 16(Δ), 20(Δ), and 30(Δ), respectively. Torsion increased in a logarithmic manner as modeled by R™ software version 2.15.2. CONCLUSIONS: The double Maddox rod test as commonly used in clinical practice is both subjective and prone to administrator and subject error. Subjects have more difficulty properly aligning the double Maddox rod as distance between images is increased. It is also possible that recruitment of the oblique muscles during attempted vertical fusion leads to subjective torsion during double Maddox rod testing in otherwise normal participants.

Scanning accuracy and precision in 4 intraoral scanners: an in vitro comparison based on 3-dimensional analysis.

STATEMENT OF PROBLEM: Intraoral scanners may use proprietary acquisition and manufacturing processes. However, limited information is available regarding their accuracy, their precision, and the influence that refraction or coating may have on their output. PURPOSE: The purpose of the study was to evaluate the scanning accuracy and precision of 4 intraoral scanners and to assess the influence of different test materials and coating thicknesses. MATERIAL AND METHODS: Models were fabricated in 3 materials (polymethyl methacrylate [Telio CAD], titanium, and zirconia) and reference scanned with an industrial optical scanner. The models were scanned with intraoral scanners (3M Lava COS, Cerec AC/Bluecam, E4D, and iTero). A thick layer of coating was applied and scanned (3M Lava COS). Further evaluation on a gypsum cast was undertaken for the E4D system. Data were evaluated by using 3-dimensional analysis with "3D compare" software commands (3D compare analysis) regarding standard, mean, and maximum deviations, with subsequent statistical analysis. RESULTS: The 3M Lava COS, Cerec AC/Bluecam, and iTero generally displayed similar results regarding deviations. Maximum deviations, however, increased by several factors for the noncoating scanners (iTero and E4D). Statistical significance was found regarding material properties for noncoating scanners (P<.05). iTero displayed consistent material-specific, localized errors on the translucent material (Telio CAD). E4D showed the largest deviations. Scans of the gypsum cast displayed specific localized areas with greater deviations. Excessive coating was nonsignificant. CONCLUSIONS: Significant differences were found between the coating and noncoating scanners, and specific scanning errors for the system with parallel confocal microscopy were found for certain model materials. Specific areas of sizable deviations for the system with laser triangulation technology can be explained by the scanner design and noncoating technology. Excessive coating had no negative effect.