Product Description

Artemis' Graphical Interface

Scanning capability

Sample Images

Applications of the technology

Precision, Resolution, and Accuracy

Scan technology slideshow
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Product Description:


Artemis 2
Artemis is a very high frequency (VHF) ultrasound eye scanner. In use, the patient leans forward placing their head onto an adjustable headrest. The headrest's unique design permits the patient to pull away quickly from the scanner if desired. An eyecup filled with a saline-based interface fluid couples the ultrasound signal to the eye, while a precision mechanism moves the transducer past the front of the eye. During the accurately controlled arc motion of the transducer, which lasts less than one second, many thousands of ultrasound samples are digitized. Following a scan, signal analysis is performed on a PC-compatible microcomputer, and the data are available for immediate viewing on an LCD monitor or archival storage to disc media.
Artemis is very flexible; many adjustments to the scanning parameters are possible to customize the scan to your clinical needs. Functions are provided for centering the scan about the optical axis of the eye. The starting location of the scans as well as the extent can be varied as desired, to view image planes through the eye at different angles.

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Artemis' Graphical Interface:

Artemis has an advanced graphical interface which presents data in a multi-window format.  The main windows (seen below) show: the optical camera view of the eye being scanned; the current scanning parameters; an oscilloscope or A-mode representation of the current ultrasound beam; and a complete B-mode image of the current scan.
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Scanning capability:

Data from Artemis scans provide:

High-resolution B-scan images of:

High precision biometry is possible of:



Sample Images:

Pachymetric Topography of LASIK

Details of C12 >>


 
Anterior Segment

Details of Horizontal B-Scans >>



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Anterior Segment - Lights On 


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Anterior Segment - Lights Off


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Scleral Thickness

High resolution arc B-scan of temporal quadrant of left eye in normal subject. Note the clearly distinguished scleral borders to enable biometryin planning scleral perforating surgery (e.g. presbyopic procedures, deep sclerectomy etc.). Visualization and biometry of anterior segment pathology (tumors, cysts, foreign bodies, ciliary detachment, etc.) is made simple.


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Applications of the technology

The Artemis technology has many unique applications, particularly in refractive surgery, with no competing technology either available or in development. The unique applications include:

  • The most accurate three-dimensional corneal thickness measurements possible to date for safer surgical planning in corneal excimer laser surgery (LASIK and PRK).

  • The ability to measure and predict the residual stromal thickness after LASIK to prevent long-term corneal destabilization and consequent progression to corneal transplant

  • The ability to diagnose the causes of refractive surgical inaccuracy in particular cases (healing changes and corneal mechanical changes)

  • Layer by layer corneal anatomy visualization to enable customized ablations of the cornea to be carried out in a predictable way

  • Diagnosis of complications in corneal refractive surgery

  • Customization of refractive surgical intra-ocular phakic lens implants via accurate determination of internal ocular dimension (anterior chamber angle and sulcus-to-sulcus dimensions). Fernando Trindade, MD, PhD concluded that current methods of assessing sulcus to sulcus distance need to be improved upon. His Grand Prize-winning video presentation was released at the 2000 ASCRS on the "Importance of Proper ICL Vaulting"

  • Providing a more accurate measurement for power selection of the intra-ocular lens replacement in cataract surgery

 
 

Precision, Resolution, and Accuracy

Precision is the measure of the smallest increment of distance that can be measured repeatably. Precision of Artemis measurements is on the order of 1µm to 5 µm.

Resolution is the minimum distance between two features at which the features are distinguishable as separate objects rather than one. Resolution of Artemis images ranges from 35 µm to 65 µm, depending on what orientation in the image it is measured.
 

Accuracy is the measure of how much a measurement varies from the true distance. For Artemis, the primary limitation on accuracy is knowing the true speed-of-sound in the tissue being measured and is estimated at less than ±1.8%.
 

Further information on resolution, precision, and accuracy measurements can be found in:
Arc-scanning very high-frequency ultrasound for 3-D pachymetric mapping of the
corneal epithelium and stroma in laser in situ keratomileusis. J Refract Surg. 16:414-430, 2000.
 
 

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