functional diagnostics gastrointestinal polygram 98 anorectal function testing markers and...
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FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Polygram 98 Anorectal Function Testing
Markers and Calculations
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Analysis Marker Overview
Resting Pressure Analysis Marker Squeeze Analysis Marker Strain Analysis Marker Cough Analysis Marker
Generic Calculation Analysis Marker RAIR Analysis Marker Rectal Sensation Analysis Marker Baseline Analysis Marker Continuous Pull Resting Pressure Analysis Marker Continuous Pull Squeeze Analysis Marker
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Reference Level
Calibrated Zero Resting Pressure relative to Calibrated Zero Pressure Amplitude relative to Calibrated Zero Pressure Increase relative to Baseline
Baseline Resting Pressure relative to Baseline Pressure Amplitude relative to Baseline Pressure Increase relative to local Resting Pressure
Applies for following markers: Resting Pressure Analysis Marker Squeeze Analysis Marker Strain Analysis Marker Cough Analysis Marker
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
External anal sphincter
Resting Pressure Analysis Marker
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Resting Pressure
Re6.0
Resting Pressure
Resting Pressure
Resting Pressure
Resting Pressure Level
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Internal anal sphincterExternal anal sphincter
Resting Pressure – Fixed Catheter
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Internal anal sphincterExternal anal sphincter
Resting Pressure – Station Pull
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Squeeze Analysis Marker – Calib. Zero
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Squeeze Pressure
Sq3.0
Squeeze Pressure
Squeeze Pressure
Squeeze Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Squeeze Analysis Marker – Baseline
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Squeeze Pressure
Sq3.0
Squeeze Pressure
Squeeze Pressure
Squeeze Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Contraction Identification
Threshold
Minimum durationCalibrated zero level
0
Increa
se
Am
plitu
de
Minimum increase
Baseline
Squeeze Pressure
Calibrated ZeroCalibrated Zero
Threshold
Resting Pressure
Minimum durationCalibrated zero level
0
Increase
Am
plitu
de
Minimum increase
Baseline
Squeeze Pressure
BaselineBaseline
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Squeeze Analysis – Fixed Catheter
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Squeeze Analysis – Station Pull
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Strain Analysis Marker – Calib. Zero
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Strain Pressure
St3
Strain Pressure
Strain Pressure
Strain Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Strain Analysis Marker – Baseline
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Strain Pressure
St3
Strain Pressure
Strain Pressure
Strain Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Strain Analysis – Fixed Catheter
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Cough Analysis Marker – Calib. Zero
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Cough Pressure
Co3
Cough Pressure
Cough Pressure
Cough Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Cough Analysis Marker – Baseline
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
Cough Pressure
Co3
Cough Pressure
Cough Pressure
Cough Pressure
Contraction Pressure Increase Pressure Amplitude Duration
Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Cough Analysis – Fixed Catheter
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Generic Analysis Marker
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
3
Generic Analysis
Min pressure Max pressure Mean pressure Median pressure Motility Index
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Generic Analysis
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
RAIR Analysis Marker
No analysis User specified balloon volume User specified classification (present/non-present)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Rectal Sensation Analysis Marker
No analysis User specified balloon volume User specified classification (first sensation, constant
sensation, maximum tolerable volume)
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Continuous Pull Analysis Marker
00:00:05 00:00:10 00:00:15 00:00:20
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
mmHg
80
60
40
20
0
8 ... -2 cm
Continuous Pull Resting Pressure
Sphincter/HPZ Length Max pressure Mean pressure
Pull Sphincter Length HPZ Length Max pressure HPZ Mean pressure HPZ Sphincter Asymmetry HPZ Asymmetry Sphincter Vector Volume HPZ Vector Volume Pull data
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Continuous Pull Analysis Marker
Continuous Pull, Resting
CPT Resting Sphincter
CPT Resting HPZ
Anal Verge
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Continuous Pull - Summary
FUNCTIONAL DIAGNOSTICSGASTROINTESTINAL
Continuous Pull - Details