Examination of short binary sequences for mfERG recording.
Richard P Hagan1, Anthony C Fisher, Malcolm C Brown
1Clinical Engineering Department, Duncan Building, Royal Liverpool University Hospital, Prescot Street, Liverpool, L9 8XP, UK. R.P.Hagan@liv.ac.uk
Documenta Ophthalmologica. Advances in Ophthalmology
|September 1, 2006
Summary
Short sequences for multifocal electroretinography (mfERG) are validated for clinical use. This study confirms that brief mfERG sequences maintain response separation for diagnostic accuracy and patient comfort.
Area of Science:
- Ophthalmology
- Neuroscience
- Biomedical Engineering
Background:
- Multifocal electroretinography (mfERG) initially used long sequences with short inter-stimulus intervals.
- Slower mfERG sequences have been developed to analyze specific retinal components like Oscillatory Potentials (OPs) and Optic Nerve Head Components (ONHC).
- Reducing sequence length improves patient comfort and reduces recording time, but risks losing response orthogonality, especially with multiple stimulated areas.
Purpose of the Study:
- To verify if a short mfERG sequence, specifically the one used by the Roland Retiscan stimulating 19 hexagons, can maintain the separation of first and higher-order responses for each stimulated area.
- To provide mathematical validation for the use of short sequences in slow mfERG protocols.
- To describe an empirical testing method for validating these short sequences.
Main Methods:
- Utilized m-sequences of length n=9 to drive 19 hexagons in the Roland Retiscan system.
- Employed photodiodes connected to a Diagnosys Espion to record responses.
- Analyzed recorded data using Excel and MATLAB to determine sequence properties and correlation coefficients.
Main Results:
- Confirmed that the sequences used were m-sequences of length n=9.
- Found that the correlation coefficients between all sequences and between decoding sequences were -1/(2n-1).
- Demonstrated that the sequences driving each hexagon were shifted by 26 steps, ensuring response separation.
Conclusions:
- Short mfERG sequences are mathematically validated for slow mfERG protocols.
- The tested short sequence effectively maintains the separation of first and higher-order responses for each stimulated area.
- This validation supports the use of shorter sequences for improved patient comfort and diagnostic efficiency in mfERG testing.


