JP5850292B2 - Ophthalmic equipment - Google Patents

Description

  The present invention relates to an ophthalmologic apparatus for setting conditions for presenting a stimulus target in a perimeter.

  The perimeter is a device that subjectively measures the visual field of a patient, and measures the visual field depending on whether or not the subject can visually recognize the inspection target (Patent Document 1). The apparatus of Patent Document 1 has a function of photographing a color fundus image, and can perform a visual field inspection by manually projecting a visual target toward an eye diseased part on the color fundus image.

JP 2003-235800 A

  However, the above apparatus manually projects a visual target while viewing a color fundus image. The above apparatus is not simple because the visual field inspection is performed according to the shape or size of the fundus disease (fundus abnormality) part.

  In view of the above problems, an object of the present invention is to provide an ophthalmologic apparatus capable of acquiring information useful for diagnosing fundus disease by performing an appropriate visual field inspection on the fundus disease site.

  In order to solve the above problems, the present invention is characterized by having the following configuration.

(1) An ophthalmologic apparatus for setting conditions for presenting a stimulus target in a perimeter,
An OCT map showing a two-dimensional layer thickness measurement result of the fundus based on each tomographic image obtained by two-dimensionally scanning the measurement light in the XY direction by the optical coherence tomography device is displayed on the display unit. , An ophthalmologic apparatus comprising a presentation condition setting means capable of setting a visual field measurement position on the OCT map displayed on the display unit ,
The OCT map is an OCT map showing a two-dimensional distribution of the layer thickness measurement result with respect to the XY direction, and a display color is different depending on the layer thickness measurement result.
(2)
An ophthalmologic apparatus for setting conditions for presenting a stimulus target in a perimeter,
An OCT map showing the two-dimensional analysis result of the fundus oculi based on the tomographic image obtained by the optical coherence tomography device is displayed on the display unit, and the visual field measurement position can be set on the OCT map displayed on the display unit Presenting condition setting means,
A database in which visual field inspection result data by a perimeter is associated with analysis result data based on a tomographic image obtained by an optical coherence tomography device;
The presenting condition setting unit is characterized in that a target presenting condition corresponding to the acquired analysis result data is acquired from the database.

  According to the present invention, information useful for diagnosis of fundus disease can be obtained by performing an appropriate visual field inspection on the fundus disease site.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a configuration diagram of an optical system of an ophthalmologic apparatus according to the present embodiment, and FIG. 2 is a block diagram of a control system.

  An outline of the apparatus configuration will be described. This apparatus is an apparatus for setting conditions for presenting a stimulus target in the perimeter 50. The perimeter 50 measures the visual field of the eye E by presenting the inspection target to the subject's eye E and measuring the response state by the examiner. The perimeter 50 includes a visual target presenting optical system 52 that presents a stimulus visual target within the visual field of the eye E.

  The control unit 30 provided in this apparatus acquires analysis result data based on a fundus image captured by a fundus imaging apparatus (for example, an optical coherence tomography device (OCT device) 100). Based on the acquired analysis result data, the control unit 30 sets a presentation area of the stimulus target and sets a plurality of measurement points in the presentation area. The control unit 30 controls the operation of the visual target presenting optical system 52 to sequentially present the stimulus visual target at each set measurement point and perform visual field inspection.

  Details of the apparatus configuration will be described below. In FIG. 1, E indicates an eye to be examined. Infrared light is emitted from the light source 1. It is also possible to obtain an infrared light beam using a halogen lamp and an infrared light transmission filter. The infrared luminous flux from the light source 1 illuminates the ring slit 4 via the condenser lens 2 and the cold mirror 3 placed on the optical axis L1. The light flux from the ring slit 4 forms an intermediate image near the opening of the perforated mirror 6 through the relay lens 5 and is reflected by the peripheral surface of the perforated mirror 6 placed on the optical axis L2. The ring slit light beam reflected by the perforated mirror 6 is once imaged in the vicinity of the pupil of the eye E by the objective lens 7, and then diffused to uniformly illuminate the fundus of the eye to be examined. The cold mirror 3 has a characteristic of reflecting visible light and transmitting infrared light. The flash light emitted from the photographing light source 8 composed of a xenon flash lamp passes through the condenser lens 9 and then is reflected by the cold mirror 3 so as to pass through the ring slit 4, the relay lens 5, the perforated mirror 6, and the objective lens 7. The fundus of the eye E is illuminated. The illumination optical system is formed by such a configuration.

  A reflected light beam (infrared light beam) from the fundus of the eye E passes through the objective lens 7, the perforated mirror 6, and the lenses 10, 11, and 12 disposed on the optical axis L 2, and then reflects the infrared light to be visible. The light is reflected by a beam splitter 13 having a property of transmitting light, guided to a lens 14, and imaged on a light receiving surface of an observation CCD camera 15 having sensitivity in an infrared region. The hole of the perforated mirror 6 is located at a position conjugate with the eye pupil to be examined, and constitutes an imaging aperture. The lens 11 is a focusing lens that can be driven in the optical axis direction. By changing the position of the lens 11 on the optical axis L2, the fundus of the subject eye E and the light receiving surface of the camera 15 can be in a conjugate relationship. it can. An infrared imaging optical system that also serves as an observation optical system is configured by the camera 15 from the objective lens 7.

  The imaging optical system using visible light shares the objective lens 7 to the beam splitter 13 of the observation optical system. The visible reflected light beam from the fundus that has passed through the beam splitter 13 is reflected by the mirror 17 via the lens 16, and then enters the CCD camera 18 for imaging having sensitivity in the visible range, and a fundus image is formed on the light receiving surface. Imaged. The light receiving surface of the camera 15 is placed so as to be optically conjugate with the light receiving surface of the camera 18 and the fundus of the eye to be examined. The angle of view for visible and infrared imaging is 45 degrees.

  The visual target presenting optical system 52 for performing the subjective visual field measurement shares the objective lens 7 to the lens 16 used as the imaging optical system, and presents the reduction lens 19 and the visual display for visual field measurement. Consists of. The reduction lens 19 is used to project the entire target display area of the LCD display 20 onto the eye E to be examined. At the time of visual field measurement (at the time of target presentation), the mirror 17 is retracted out of the optical path. The visual target presented on the LCD display 20 is projected onto the fundus of the eye E through the reduction lens 19, the lens 16, the beam splitter 13, the lenses 10 to 12, the perforated mirror 6, and the objective lens 7. A cross-shaped fixation target as a fixation target of the eye to be examined is formed at the center (optical axis L2) of the LCD display 20. In addition, the inspection target (stimulus target) for visual field measurement can be changed in its presentation position, brightness, and size.

  In FIG. 2, reference numeral 30 denotes a control unit for driving and controlling the entire system of the ophthalmologic apparatus. The observation light source 1, the imaging light source 8, the LCD display 20, the image processing unit 32, the image switching unit 33, the memory 34, and the response A button 35 is connected. The response button 35 is used when the subject can visually recognize the presented target at the time of visual field measurement. Also connected to the control unit 30 is a control unit 37 provided with a photographing button 37a, a mode switching button 37b for fundus photographing mode and visual field measurement mode, a visual field measurement start button 37c, and the like.

  The image processing unit 32 performs image processing on an image obtained by the camera 18. Further, the image processing unit 32 can perform image processing on an image obtained by the camera 15. The image switching unit 33 switches the display on the monitor 31 to a moving image observation image of the camera 15 or a still image from the camera 18. The memory 34 stores the images taken by the cameras 15 and 18 and the response information of the subject obtained in the visual field measurement. Moreover, the control part 30 performs the calculation process at the time of subjective type visual field measurement.

<Measurement by OCT>
The OCT device 100 projects measurement light onto the fundus oculi Ef, detects an interference state between the measurement light reflected from the fundus and the reference light, and captures a fundus tomographic image. The OCT device 100 divides the light beam emitted from the light source into measurement light and first reference light, guides the measurement light beam to the fundus, guides the reference light to the reference optical system, and then reflects the measurement light and the reference light reflected on the fundus. And an interference optical system that receives interference light obtained by combining with. An optical scanner that scans the measurement light on the fundus is provided in the measurement optical path of the interference optical system.

<Analysis by OCT>
FIG. 3 is a diagram illustrating an example of a tomographic image obtained by the OCT device 100. The OCT device 100 has an image analysis unit, detects each layer information of the fundus in the acquired tomographic image by image processing, analyzes the detection result of each layer based on a predetermined image determination condition (determination criterion), It is determined whether or not the imaging region is normal. Then, the OCT device 100 obtains an analysis result based on the determination result. The analysis result is stored together with the tomographic image in the memory of the OCT device 100 or an external memory (for example, a memory of a personal computer or a memory of a server).

  When detecting a layer, for example, the luminance level of a tomographic image is detected, and a layer boundary corresponding to a predetermined retinal layer (for example, a retinal surface and a retinal pigment epithelium layer) is extracted by image processing. Then, the layer thickness is measured by measuring the interval between the layer boundaries.

  When determining a tomographic image, layer thickness determination, shape determination, size determination of a predetermined part (for example, nipple, macular), etc. can be considered, and the interval between layers in normal eyes, the shape of a predetermined part, the size of a predetermined part, A normal eye database in which etc. are stored is used as a base for image determination conditions. The normal eye database is stored in the memory.

  For example, the OCT device 100 measures the layer thickness at each position in the transverse direction, and determines whether the measurement result is within a predetermined range in the normal eye database (for example, a normal range corresponding to a normal eye measurement value). Then, the OCT device 100 determines that the portion where the layer thickness is determined to be within the normal range is normal. On the other hand, a portion where the layer thickness is determined to be outside the predetermined range is determined to be abnormal. Thereby, the abnormal part in a tomographic image is specified.

  A wide-range tomographic image acquired by scanning the measurement light two-dimensionally in a wide range on the fundus (for example, see hatching S1 in FIG. 4) may be analyzed. In this case, it is preferable to set a scanning range (for example, a rectangular region of 9 mm long × 9 mm wide, 12 mm long × 12 mm wide) so that the macular and nipple of the fundus are included in the imaging range. As the scan pattern, for example, a plurality of line scans and raster scans are set. Thereby, a plurality of tomographic images forming a wide range of fundus tomographic information are obtained.

  Then, the OCT device 100 calculates the thickness of each layer of the retina (for example, the retina surface layer and the retinal pigment epithelium layer) for each tomographic image. Then, the OCT device 100 two-dimensionally obtains a position where the layer thickness exceeds a predetermined range. With respect to the XY direction, a comparison result of the layer thickness of the subject's eye and the normal eye may be used. Of course, in the analysis using the layer thickness, a total value of a plurality of layer thicknesses may be used.

  FIG. 5 is a diagram showing the analysis result of the tomographic image, and is an example of a thickness map when the layer thickness is measured two-dimensionally. The hatching R is a portion where the layer thickness has deviated from the first predetermined range for specifying an abnormal site, and is a portion determined as an abnormal site, and is displayed in red, for example. Hatching Y is a portion where the layer thickness is out of the second predetermined range for specifying a dangerous part (an intermediate level between normal and abnormal), and is a part determined as a dangerous part, and is displayed in yellow, for example. .

  In the above analysis, when determining the degree of progression of glaucoma, the thickness of the retinal nerve fiber layer and ganglion cell layer is measured, and the measurement result is compared with the normal eye database to identify the abnormal site. Is preferred. In this case, the thickness from the retinal nerve fiber layer to the ganglion cell layer to the intima layer may be measured and analyzed.

  The analysis result based on the tomographic image acquired by the OCT device 100 includes, for example, measurement information based on the tomographic image, a determination result based on the measurement information, disease information based on the tomographic image, and position information of the abnormal region on the fundus. , Etc. are included.

  The measurement information includes, for example, layer thickness, shape, and size information of a certain part. The determination result includes, for example, a comparison result between the measurement result of the tomographic image and the normal eye database (for example, a comparison result between the layer thickness information of the fundus tomographic image and the normal eye database) and a map image based on the comparison result. The disease information includes the subject's disease name, the degree of progression of a certain disease, and the like.

  In addition, when obtaining an analysis result, in addition to the analysis by image processing as described above, a result obtained by the examiner specifying an abnormal site based on the tomographic image may be used.

  In addition, the analysis result is a result associated with a fundus front image obtained by a front fundus image capturing device (for example, a fundus camera, SLO (scanning laser ophthalmoscope)) attached to the OCT device 100. May be.

<Description of operation>
The operation of the apparatus having the above configuration will be described. As an outline of the operation, the perimeter generates a visual field inspection pattern (for example, a visual target presentation position, a visual target luminance, etc.) based on fundus abnormality information obtained by the OCT device 100 having a retinal morphology observation function. . And this perimeter performs a test | inspection based on the produced | generated test | inspection pattern, and performs the detailed visual field test regarding an abnormal site | part.

  FIG. 6 is a flowchart for explaining an example of the operation of this apparatus. First, patient information (ID number for identifying a patient, name, age, sex, chief complaint, comment, etc.) is input as preparation before imaging. Then, the control unit 30 reads the analysis result of the OCT device 100 corresponding to the input patient information, and displays the analysis result on the monitor 34. The analysis result is input from the OCT device 100 to the perimeter via a LAN cable, for example. Further, there may be a case where the tomographic image acquired by the OCT device 100, a server storing the analysis result, and the like are input to the perimeter.

  The control unit 30 processes the acquired analysis result data to acquire position information related to the abnormal portion of the fundus. The control unit 30 sets a stimulus target presentation area based on the acquired position information. Then, the control unit 30 sets a plurality of measurement points in the set presentation area. In addition, the control unit 30 acquires abnormality degree data included in the analysis result data, and changes the initial reference luminance at each measurement point in a stepwise manner according to the abnormality degree.

  For example, the control unit 30 acquires position information of a portion outside the range of normal eyes with respect to the layer thickness information, and sets a stimulus target presentation area based on the position information. When the analysis result as shown in FIG. 5 is obtained, the control unit 30 acquires the position information of the portion (hatching R) determined as the abnormal portion, and the stimulus target is included so that the abnormal portion is included in the measurement range. A presentation area A is set (see FIG. 7). Then, the control unit 30 sets a plurality of measurement points M (black circles) at predetermined intervals in the presentation area A so that detailed visual field information at the abnormal site can be obtained (see FIG. 8). In addition, the initial reference luminance at each measurement point is changed according to the deviation amount of the layer thickness from the allowable range (for example, the luminance is increased as the deviation amount is larger).

  Here, the analysis result of the OCT device 100 and each measurement point in the visual field inspection are associated in advance, and the correspondence relationship is stored in the memory 34. For example, the target presentation position of the perimeter is associated with the measurement position by the OCT device 100 (for example, the scanning position of the measurement light, the fixation position, etc.). Note that distortion may occur in both the tomographic image and the analysis result due to the aberration of the optical system provided in the OCT device 100. Thus, the target presentation position corresponds to the measurement position in a state where these distortions are corrected.

  Thereafter, the control unit 30 controls the display of the display 20 and sequentially presents the stimulus target for each measurement point in the set presentation area. In this case, the control unit 30 starts the perimeter side at the initial reference luminance set for each measurement point presented on the display 20.

  When there is a response signal of the response button 35 from the subject, the luminance presented at the measurement point is sequentially lowered by a predetermined luminance (4 db). If the response from the subject cannot be obtained, the brightness is increased (brightened) by a predetermined luminance. The luminance is increased or decreased by 1 db before and after the presence / absence of the visual response, and the darkest luminance finally visible is set as a threshold value at the measurement point. This is performed at each measurement point in the presentation area A.

  When the visual field measurement is completed for all the set measurement points, the threshold information for each measurement point is displayed on the monitor 31 as shown in FIG. In this case, the threshold information may be superimposed and displayed on the fundus image of the camera 18 stored in the memory 34. In this case, since the analysis result is associated with each measurement point in the visual field inspection, the measurement result may be superimposed on the analysis result such as a layer thickness map.

  As described above, the result of the visual field inspection for the region specified as the abnormal site by the OCT device 100 can be obtained. Therefore, since the confirmation of the subjective measurement is smoothly performed for the region that is determined to be morphologically abnormal from the tomographic image, it is possible to smoothly measure the disease of the lesioned part.

  In addition, a tomographic image is analyzed using a database (for example, a normal eye database) for identifying fundus disease (abnormal fundus), and suitable for the fundus disease with respect to a visual field disorder site assumed from the identified fundus disease. Information useful for diagnosis is provided by performing an inspection using a target inspection pattern.

  In the above description, a normal part, not an abnormal part, may be specified and set as a presentation area. In addition, when a unique result in the analysis result is obtained, that portion may be set as a presentation area.

  Note that the presentation condition setting unit for setting the presentation condition of the stimulus target and the perimeter may be separate housings. In this case, the presentation condition setting unit outputs the set presentation condition data to the perimeter. The perimeter performs a visual field inspection based on the presentation condition data. Note that the presentation condition setting unit may be provided on the OCT device 100 side.

  In the above description, the presenting area A may be set so that a part (hatching R, Y) determined as an abnormal part and a dangerous part is included in the measurement range. In addition, a presentation area may be set for each of the abnormal part and the dangerous part, and the target may be presented in a separate step. The presentation area A formed by a plurality of measurement points may be circular, rectangular, or a shape corresponding to the shape formed by the abnormal part.

  Further, the number of measurement points and the interval between the measurement points may be changed stepwise according to the degree of abnormality in the analysis result. For example, the interval between the measurement points is changed according to the deviation amount of the layer thickness from the normal range in the normal eye database. In this way, the visual field measurement of the abnormal part is performed more smoothly.

  In the analysis result based on the tomographic image, the two-dimensional map related to the fundus layer thickness, for example, expresses in color stepwise whether the measurement result at each position is normal or abnormal. Therefore, the control unit 30 may set the presentation area based on the color information of the two-dimensional map. In this case, the relationship between the color information and the degree of abnormality is obtained in advance.

  For example, in the two-dimensional map, normal parts are expressed in blue, dangerous parts are expressed in yellow, and abnormal parts are expressed in red. Therefore, for example, the control unit 30 sets the red area as the presentation area A. Alternatively, the control unit 30 sets the red area as the first presentation area and the yellow area as the second presentation area. At this time, the initial reference luminance may be different between the first presentation region and the second presentation region (for example, the first presentation region: high luminance, the second presentation region: low luminance).

  In the above description, the visual field inspection result when inspecting with a visual field inspection pattern using the perimeter and the OCT analysis result based on the tomographic image are accumulated, and the visual field inspection result data and the OCT analysis result data A database that associates with each other may be constructed. Thereby, the correlation between the fundus abnormality information specified by the OCT device 100 and the fundus abnormality information obtained by the perimeter is obtained.

  For example, by associating the threshold information of each measurement point with the layer thickness information of the fundus corresponding to each measurement point, a database relating to the correlation between the threshold and the layer thickness is constructed. Thereby, the relationship between the visual field state of the eye E and the tomographic image is grasped.

  Furthermore, the control unit 30 may acquire the target presentation conditions corresponding to the analysis result data acquired as described above from the database regarding the visual field inspection result and the OCT analysis result. In this case, a pattern database storing the visual field inspection pattern corresponding to the analysis result of the tomographic image may be constructed.

  For example, the predicted threshold value corresponding to the layer thickness of the eye E is calculated using the database related to the correlation between the threshold value and the layer thickness constructed as described above, and the luminance close to the predicted threshold value is set as the initial reference luminance. . Thereby, a smoother visual field inspection becomes possible. In this case, a visual field inspection pattern corresponding to the acquired layer thickness information may be acquired from the pattern database.

  In addition, the abnormal region specified by the tomographic image analysis and the abnormal region specified by the perimeter may not necessarily match on the fundus. Therefore, using the database that associates the abnormal part by the tomographic image with the abnormal part by the perimeter, the predicted abnormal part by the perimeter is identified based on the abnormal part information by the tomographic image, and the fundus including the predicted abnormal part on the fundus The measurement position is set as the presentation area.

  In addition, a visual field database for determining whether or not the visual field is normal in the measurement information of the tomographic image is constructed by reflecting the measurement result by the perimeter in the normal eye database used for the analysis of the tomographic image. Thereby, for example, it is determined whether or not the layer thickness information based on the tomographic image is in a normal range with respect to the visual field.

  In the above description, the visual field measurement position is automatically set based on the analysis result of the OCT device 100. However, the following configuration may be provided. For example, an OCT map (see the layer thickness map in FIG. 5) showing a two-dimensional analysis result of the fundus by the OCT device 100 is displayed on the monitor 31, and a measurement point is set on the OCT map. Good.

  Here, the examiner operates an operation member such as a mouse to select a desired part in the OCT map. In this case, a measurement area corresponding to the aforementioned presentation area A may be set, or each measurement point may be set sequentially by clicking or the like.

  In the above description, the OCT device 100 is disposed at a position different from the perimeter, but may be configured to be incorporated in the optical system of the perimeter described above. For example, a configuration in which the interference optical system of the OCT device 100 is arranged instead of or in addition to the above-described imaging optical system using visible light may be used.

  In the above description, the analysis result for the tomographic image acquired by the OCT device 100 is obtained. However, the analysis result of the tomographic image is obtained by the control unit 30 of the perimeter measuring the tomographic image. May be.

  The dynamic perimeter measures the visual field by drawing an isosensitivity curve (isopter) by changing conditions such as the size and brightness of the target. Therefore, for example, the direction / position / speed for moving the visual target is changed based on the set presentation area.

  In the above description, the target presentation area in the visual field measurement is set based on the analysis result based on the tomographic image. However, the present invention is not limited to this. The presentation region may be set based on an analysis result based on a fundus front image acquired by a fundus front image capturing device such as a fundus camera or SLO. As the front image, an analysis result using a color fundus image, an infrared fundus image, a fluorescence image, or the like is used.

  Regarding the front image analysis, for example, an abnormal part in the front image appears as a luminance change (bright / dark) that is not in the case of normal eyes. Therefore, a part having a luminance level lower than the predetermined level or a part higher than the predetermined level is detected by image processing, and the presence / absence of an abnormal part is determined and the position of the abnormal part is specified.

It is an optical system block diagram of the ophthalmologic apparatus in this embodiment. It is a block diagram of a control system. It is a figure which shows the example of the tomographic image obtained by the OCT device. It is a figure explaining the example which scans a fundus in a wide range. It is a figure which shows the analysis result of a tomographic image, and is an example of the thickness map when layer thickness is measured two-dimensionally. It is a flowchart explaining the example of operation | movement of this apparatus. It is a figure explaining the example which sets the presentation area | region of a stimulus target based on analysis result data. It is a figure explaining the example which sets a some measurement point in a presentation area | region. It is a figure which shows an example of a visual field measurement result.

30 control unit 50 perimeter 52 optotype presenting optical system 100 OCT device

Claims (6)

An ophthalmologic apparatus for setting conditions for presenting a stimulus target in a perimeter,
An OCT map showing a two-dimensional layer thickness measurement result of the fundus based on each tomographic image obtained by two-dimensionally scanning the measurement light in the XY direction by the optical coherence tomography device is displayed on the display unit. , An ophthalmologic apparatus comprising a presentation condition setting means capable of setting a visual field measurement position on the OCT map displayed on the display unit ,
The OCT map is an OCT map showing a two-dimensional distribution of the layer thickness measurement result with respect to the XY direction, and an ophthalmologic apparatus having different display colors according to the layer thickness measurement result . Visual target presenting means for presenting a stimulus visual target within the field of view of the subject's eye;
By controlling the operation of the visual target presenting means, a control means for sequentially presenting the stimulus visual target at each measurement point corresponding to the visual field measurement position set by the presenting condition setting means, and performing visual field inspection,
The ophthalmic apparatus according to claim 1, comprising:   The presenting condition setting means is capable of setting the visual field measurement position by selecting a visual field inspection site on the OCT map based on an operation signal from an operation member operated by an examiner. The ophthalmic apparatus according to claim 1. The OCT map has a different display color according to the layer thickness of the fundus of the subject's eye or a display color different according to the comparison result between the layer thickness of the fundus of the subject's eye and the normal eye database. The ophthalmologic apparatus in any one of Claims 1-3. The presenting condition setting means further obtains an abnormality degree related to an abnormal region of the fundus based on the color information of the OCT map , and changes the initial reference luminance of each measurement point stepwise according to the abnormality degree. The ophthalmic apparatus according to claim 2. An ophthalmologic apparatus for setting conditions for presenting a stimulus target in a perimeter,
An OCT map showing the two-dimensional analysis result of the fundus oculi based on the tomographic image obtained by the optical coherence tomography device is displayed on the display unit, and the visual field measurement position can be set on the OCT map displayed on the display unit Presenting condition setting means ,
Comprising a visual field test result data by perimeter, and a database in which the analysis result data based on the tomographic image is associated, obtained by optical coherence tomography device, and
The presentation condition setting means, ophthalmologic apparatus characterized by obtaining the target presenting conditions corresponding to the acquired analysis result data from the database.

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