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Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging

Background. This study aimed to determine whether it is possible to predict driving safety of individuals with homonymous hemianopia or quadrantanopia based upon a clinical review of neuroimages that are routinely available in clinical practice. Methods. Two experienced neuroophthalmologists viewed...

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Autores principales: Vaphiades, Michael S., Kline, Lanning B., McGwin, Gerald, Owsley, Cynthia, Shah, Ritu, Wood, Joanne M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941145/
https://www.ncbi.nlm.nih.gov/pubmed/24683493
http://dx.doi.org/10.1155/2014/754042
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author Vaphiades, Michael S.
Kline, Lanning B.
McGwin, Gerald
Owsley, Cynthia
Shah, Ritu
Wood, Joanne M.
author_facet Vaphiades, Michael S.
Kline, Lanning B.
McGwin, Gerald
Owsley, Cynthia
Shah, Ritu
Wood, Joanne M.
author_sort Vaphiades, Michael S.
collection PubMed
description Background. This study aimed to determine whether it is possible to predict driving safety of individuals with homonymous hemianopia or quadrantanopia based upon a clinical review of neuroimages that are routinely available in clinical practice. Methods. Two experienced neuroophthalmologists viewed a summary report of the CT/MRI scans of 16 participants with homonymous hemianopic or quadrantanopic field defects which indicated the site and extent of the lesion and they made predictions regarding whether participants would be safe/unsafe to drive. Driving safety was independently defined at the time of the study using state-recorded motor vehicle crashes (all crashes and at-fault) for the previous 5 years and ratings of driving safety determined through a standardized on-road driving assessment by a certified driving rehabilitation specialist. Results. The ability to predict driving safety was highly variable regardless of the driving safety measure, ranging from 31% to 63% (kappa levels ranged from −0.29 to 0.04). The level of agreement between the neuroophthalmologists was only fair (kappa = 0.28). Conclusions. Clinical evaluation of summary reports of currently available neuroimages by neuroophthalmologists is not predictive of driving safety. Future research should be directed at identifying and/or developing alternative tests or strategies to better enable clinicians to make these predictions.
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spelling pubmed-39411452014-03-30 Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging Vaphiades, Michael S. Kline, Lanning B. McGwin, Gerald Owsley, Cynthia Shah, Ritu Wood, Joanne M. J Ophthalmol Clinical Study Background. This study aimed to determine whether it is possible to predict driving safety of individuals with homonymous hemianopia or quadrantanopia based upon a clinical review of neuroimages that are routinely available in clinical practice. Methods. Two experienced neuroophthalmologists viewed a summary report of the CT/MRI scans of 16 participants with homonymous hemianopic or quadrantanopic field defects which indicated the site and extent of the lesion and they made predictions regarding whether participants would be safe/unsafe to drive. Driving safety was independently defined at the time of the study using state-recorded motor vehicle crashes (all crashes and at-fault) for the previous 5 years and ratings of driving safety determined through a standardized on-road driving assessment by a certified driving rehabilitation specialist. Results. The ability to predict driving safety was highly variable regardless of the driving safety measure, ranging from 31% to 63% (kappa levels ranged from −0.29 to 0.04). The level of agreement between the neuroophthalmologists was only fair (kappa = 0.28). Conclusions. Clinical evaluation of summary reports of currently available neuroimages by neuroophthalmologists is not predictive of driving safety. Future research should be directed at identifying and/or developing alternative tests or strategies to better enable clinicians to make these predictions. Hindawi Publishing Corporation 2014 2014-02-05 /pmc/articles/PMC3941145/ /pubmed/24683493 http://dx.doi.org/10.1155/2014/754042 Text en Copyright © 2014 Michael S. Vaphiades et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Vaphiades, Michael S.
Kline, Lanning B.
McGwin, Gerald
Owsley, Cynthia
Shah, Ritu
Wood, Joanne M.
Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title_full Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title_fullStr Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title_full_unstemmed Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title_short Prediction of Driving Safety in Individuals with Homonymous Hemianopia and Quadrantanopia from Clinical Neuroimaging
title_sort prediction of driving safety in individuals with homonymous hemianopia and quadrantanopia from clinical neuroimaging
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941145/
https://www.ncbi.nlm.nih.gov/pubmed/24683493
http://dx.doi.org/10.1155/2014/754042
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