This work was supported by National Institutes of Health awards R01MH124761 (to N.S. and J.P.L.), UH3NS107673 (to J.P.L.), F31MH127922 (to J.G.), R00 MH106649 and R01 MH119089 (to A.A.), and R01MH120194 (to C.S.I). N.S. was also supported by the McKnight Foundation (Technological Innovations in Neuroscience Award), Ruth and Raymond Stotter Endowment, and the Keck Foundation (UCLA DGSOM Junior Faculty Award). C.S.I. was also supported by National Science Foundation award 2124252. The authors thank all members of the Suthana lab for useful discussions, and all participants for taking part in the study. We also thank Josue Avecillas-Chasin, Sabrina Levy Maoz, Lorenzo Bonacini, Andrew Leuchter, Brazil Bartholomew, Virginia Janovsky, Andy Lin, and Jonny Baham for helpful discussions and/or general assistance.
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I thing a lot of people (and uros) get too hung up on flow rates. As long as you empty your bladder completely what difference does it matter if it takes you 30 or 45 seconds? Also, there are other things besides LUTS that effect flow rates such as how hydrated you are, salt intake, alcohol and coffee consumption, even your diet. For example, on a high protein/low carb diet you tend to void faster because the diet is somewhat diuretic.
I'm assuming you are looking at the Laborie instructional video titled "Portascan 3D Proper Scanning Technique Instructional Video", which can be viewed on the Laborie website. At the 2:18 mark you will see the circle with crosshair lines. This is what I was referring to earlier as something I have not been paying attention to. I have been looking at the earlier image where the bladder is outlined with green lines and have been attempting to get the green outlined bladder to be centered in that image.
So you see these results make me wonder. At any rate, I took a PVR scan this morning and paid particular attention to the comments I made in the first paragraph (circle with crosshairs). It took three tries, but I seem to have gotten the largest image nicely centered and taking up most of the circle (even though the amount was only 111 ml). My scan looks better than the one in the Laborie video at the 2:18 mark. Also notice in that video that the two readings shown are 59 ml different. I've seen this in some other videos using the Laborie device where a technician did real time back-to-back scans. I like this scanner, but you really have to search for the largest image and have to run multiple scans. It seems to be a feel issue.
With regards to the green lines, I really can't see the bladder easily in these real time images (with green lines). All of the scans in the video show the vertical green line pretty much splitting the green outline down the middle. They also say that the bladder silhouette should appear in the center of the cross hairs (I don't think they are talking about the image with the green lines, but after the image has been taken where there is a circle with crosshairs and a bladder silhouette in white). I think that the green lines are part of the pre-scan phase that helps you find the bladder.
Looking for advice from anyone who will answer. I'm having considerable difficulty getting consistent bladder scan results. For example, I just took five scans after voiding and they were 85, 174, 173, 163, 130. Both the post-scan image of the 85 ml and 174 ml were in the center of the cross hairs and looked pretty circular. I took a pre-void scan and it resulted in a nice post-scan image that was dead center in the crosshairs of 240. The measured void amount was 150ml, so the 85 ml result would seem to make sense (assuming the 240 ml result was correct. be457b7860
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